6K6-68723-70870

3 vaccinations 26 coded responses 36 check-ins 26 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 486 / MI
Registered: 2021-03-09

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Moderna
2021-03-09
Survey response — day 0, dose 1
MedDRA: Feeling of body temperature change — Feeling: Poor · Site: Pain · Headache, Abdominal pain · Be unable to do your normal daily activities

Free text: Warmness a few times. Cold other moments not really fever and chills.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Cold sweat, Skin warm — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches

Free text: At Night feeling very warm all over, then feeling like cold sweat on legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: Only a mild pain if press right on the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Pruritus — Feeling: Fair · Diarrhea, Rash, not including the immediate area around the injection site

Free text: More of a very soft stool that started as hard then a large volume stool a few hours later. Skinny and soft towards the end. Now squirts each time I go to the bathroom. I had softish stools before this on other days but thats not uncommon due to my dairy allergy and lactose intolerance. There is hidden dairy/lactose in things. Although Ive made everything Ive eaten lately. rash is on my neck and usually the place I get one if I have had dairy at all. Again, in was itchy (and my back as well) each morning after the vaccine but I wasnt certain it was the vaccine. If it was food it usually subsides after 48 hours and this hasnt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Headache

Free text: Bowels finally getting back to normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 7, dose 1
MedDRA: Rash, Tenderness — Feeling: Good · Headache, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Rash and soft stops could have been associated with a food allergy ? Unsure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 14, dose 1
MedDRA: Pruritus, Self-medication, Swelling, Vaccination site pain — Feeling: Good

Free text: Last Wednesday (8 days after my vaccine) I had a sore arm where vaccinated when I woke up and throughout that morning. It went away. Itching on my neck continued until I finally took a Benadryl two nights ago and now have a small bump on R side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 21, dose 1
MedDRA: Hot flush, Hyperhidrosis — Feeling: Good

Free text: Didnt mention earlier but my hot flashes seem to be more extreme (actual sweat on my legs) ever since the first vaccination. I wasnt sure if it was because of vaccine but when seeing NP she said she has more than just me say the same thing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Dose 2 — Moderna
2021-04-06
Survey response — day 0, dose 2
MedDRA: Abdominal distension, Flatulence, Self-medication — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Bloating/gas like last time. Took Gas X.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Faeces soft, Self-medication — Feeling: Fair · Site: Pain · Chills, Joint pains, Diarrhea

Free text: More of a very soft stool issue. Took Imodium

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Muscle pain could be due to something else.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Arthritis, Muscle spasms — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Major muscle spasm just under left shoulder blade. Had it on day 7 After first dose. This time day 5. Same spot. Released mid afternoon. Right thumb joint has arthritis but never severe pain. Today it was severe! Could not even press the button on my power toothbrush due to sharp severe pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Dizziness, Dizziness postural, Injection site pain, Vertigo — Feeling: Good · Site: Pain

Free text: The arm injection site had not been hurting the past few days and today all of a sudden its painful again. Also, I forgot to add an intense dizzy spell whenever I would lay on one side when doing my exercises yesterday morning. Room spinning sort of dizziness. Gone by afternoon. My joint pain greatly cleared up today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea, Headache, Injection site erythema, Injection site urticaria, Self-medication — Feeling: Fair · Site: Pain, Redness · Headache, Diarrhea

Free text: The redness around the site is really more like a raised up area of the skin. Sort of like an elongated deflated small balloon. A little darker than the skin around it. Headache was bad last night and through this morning until early afternoon. Diarrhea was one episode and then I took Imodium.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 7, dose 2
MedDRA: Injection site reaction — Feeling: Good · Headache

Free text: Small kidney shaped raised area at injection site. No pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 14, dose 2
MedDRA: Back pain, Lymphadenopathy, Rash — Feeling: Good

Free text: Bumps along the back left side of my neck, I believe along the lymph nodes in that area. After first dose I had 2-3 bumps on the front right side of my neck along the lymph node there. Also muscle pain on left side of back at bra line. Same as b4.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 35, dose 2
MedDRA: Arthralgia, Gait disturbance, Limb injury, Pain in extremity, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Not related. Believe I broke my toe on right footgetting into a tub. Causing trouble walking and a great deal of pain. 2 days prior my right hip was very painful snd continues to be. May be due to exercises for knee, but wasnt doing any new exer · Healthcare visit (other): Not yet. Scheduled for 5/13.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-06
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Good

Free text: Joint pain in my hands and right arm. Could just be from using them a lot though. Nothing respiratory except a strong reaction to allergies this summer.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-19
Dose 3 — Moderna
2021-08-19
Survey response — day 0, dose 3
MedDRA: Hypoaesthesia, Hypoaesthesia oral, Musculoskeletal stiffness, Paraesthesia, Paraesthesia oral — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activities

Free text: My face felt tingly/numbing from under the eyes. Moved to more around the mouth with stiffness in the mouth cheek misclrs.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-08-21
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Chills, Faeces soft, Myalgia, Nausea, Pyrexia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Fever ans chills was yesterday after my v safe recording. Very soft stools have been throughout. Nausea was rhis morning and eating lunch helped some. Joint pains and muscle aches today.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Survey response — days 1–6 daily, dose 3
MedDRA: Faeces soft, Head discomfort, Headache, Self-medication — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Soft not well formed stools. From the start. Underlying headache ans head pressure throughout the say yesterday ( missed v safe) turned into a horrible headache overnight. Finally at 4:30 am I took 2nd dose of ibuprofen and by 5:30am slept.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-08-26
Survey response — day 7, dose 3
MedDRA: Feeling hot, Hot flush, Night sweats — Feeling: Good · Site: Pain · Fever · Headache

Free text: Just hot/flush like night sweats or a fever during the day, pdf and on but no fever.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-09
Survey response — day 21, dose 3
MedDRA: Arthralgia, Faeces soft, Night sweats — Feeling: Good

Free text: More night sweats. Aching joints. Soft stools Could be the vaccine booster or something else.

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Survey response — day 28, dose 3
MedDRA: Faeces soft, Pre-existing disease, Self-medication — Feeling: Fair

Free text: Very soft stool towards diarrhea. Have to take immodium to combat it which works for a couple of days and then back. As Ive said before, I have a dairy allergy so sometimes I think its something Ive eaten but its ado when Im cooking.

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Survey response — day 35, dose 3
MedDRA: Diarrhoea, Faeces soft, Lymphadenopathy, Self-medication — Feeling: Fair

Free text: Cycle of very soft stools to diarrhea. With immodium Im good for a couple of days, then head back to soft stools and then diarrhea.Also, with 1stdose -bumps in front lymph nodes. 2nd dose bumps back Lnodes.3rd dose small bumps below back LNs

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-11-18
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-02-18
Survey response — 6 months, dose 3
MedDRA: Exposure to SARS-CoV-2, Feeling abnormal, Headache, Nausea, Pain, Pre-existing disease, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities

Free text: Chronic Soft stools continue. Got Moderna booster half dose on 2/1 and was exposed2:9-2:11 to my husband who tested positive for COVID. Then he isolated from me. Today feeling awful. Headache, congestion, achey,nauseas. Rapid test neg waiting 4pcr

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Call 1 — Left Voicemail
2022-08-19
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna
3	2021-08-19	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-09

Systemic reaction (other): Warmness a few times. Cold other moments not really fever and chills.

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): At Night feeling very warm all over, then feeling like cold sweat on legs

2021-03-11

Systemic reaction (other): Only a mild pain if press right on the injection site.

2021-03-12

Systemic reaction (other): More of a very soft stool that started as hard then a large volume stool a few hours later. Skinny and soft towards the end. Now squirts each time I go to the bathroom. I had softish stools before this on other days but thats not uncommon due to my dairy allergy and lactose intolerance. There is hidden dairy/lactose in things. Although Ive made everything Ive eaten lately. rash is on my neck and usually the place I get one if I have had dairy at all. Again, in was itchy (and my back as well) each morning after the vaccine but I wasnt certain it was the vaccine. If it was food it usually subsides after 48 hours and this hasnt.

2021-03-15

Systemic reaction (other): Bowels finally getting back to normal.

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): Rash and soft stops could have been associated with a food allergy ? Unsure.

Release 6 — day 14, dose 1

2021-03-23

Symptoms: Last Wednesday (8 days after my vaccine) I had a sore arm where vaccinated when I woke up and throughout that morning. It went away. Itching on my neck continued until I finally took a Benadryl two nights ago and now have a small bump on R side

Release 6 — day 21, dose 1

2021-03-30

Symptoms: Didnt mention earlier but my hot flashes seem to be more extreme (actual sweat on my legs) ever since the first vaccination. I wasnt sure if it was because of vaccine but when seeing NP she said she has more than just me say the same thing.

Release 7 — day 0, dose 2

2021-04-06

Systemic reaction (other): Bloating/gas like last time. Took Gas X.

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): More of a very soft stool issue. Took Imodium

2021-04-09

Systemic reaction (other): Muscle pain could be due to something else.

2021-04-10

Systemic reaction (other): Major muscle spasm just under left shoulder blade. Had it on day 7 After first dose. This time day 5. Same spot. Released mid afternoon. Right thumb joint has arthritis but never severe pain. Today it was severe! Could not even press the button on my power toothbrush due to sharp severe pain.

2021-04-11

Systemic reaction (other): The arm injection site had not been hurting the past few days and today all of a sudden its painful again. Also, I forgot to add an intense dizzy spell whenever I would lay on one side when doing my exercises yesterday morning. Room spinning sort of dizziness. Gone by afternoon. My joint pain greatly cleared up today.

2021-04-12

Systemic reaction (other): The redness around the site is really more like a raised up area of the skin. Sort of like an elongated deflated small balloon. A little darker than the skin around it. Headache was bad last night and through this morning until early afternoon. Diarrhea was one episode and then I took Imodium.

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): Small kidney shaped raised area at injection site. No pain

Release 7 — day 14, dose 2

2021-04-20

Symptoms: Bumps along the back left side of my neck, I believe along the lymph nodes in that area. After first dose I had 2-3 bumps on the front right side of my neck along the lymph node there. Also muscle pain on left side of back at bra line. Same as b4. cut off by CDC

Release 8 — day 35, dose 2

2021-05-11

Symptoms: Not related. Believe I broke my toe on right footgetting into a tub. Causing trouble walking and a great deal of pain. 2 days prior my right hip was very painful snd continues to be. May be due to exercises for knee, but wasnt doing any new exer

Healthcare visit (other): Not yet. Scheduled for 5/13.

Release 9 — 3 months, dose 2

2021-07-06

Symptoms: Joint pain in my hands and right arm. Could just be from using them a lot though. Nothing respiratory except a strong reaction to allergies this summer.

Release 9 — day 0, dose 3

2021-08-19

Systemic reaction (other): My face felt tingly/numbing from under the eyes. Moved to more around the mouth with stiffness in the mouth cheek misclrs.

Release 9 — days 1–6 daily, dose 3

2021-08-21

Systemic reaction (other): Fever ans chills was yesterday after my v safe recording. Very soft stools have been throughout. Nausea was rhis morning and eating lunch helped some. Joint pains and muscle aches today.

2021-08-23

Systemic reaction (other): Soft not well formed stools. From the start. Underlying headache ans head pressure throughout the say yesterday ( missed v safe) turned into a horrible headache overnight. Finally at 4:30 am I took 2nd dose of ibuprofen and by 5:30am slept.

Release 9 — day 7, dose 3

2021-08-26

Systemic reaction (other): Just hot/flush like night sweats or a fever during the day, pdf and on but no fever.

Release 9 — day 21, dose 3

2021-09-09

Symptoms: More night sweats. Aching joints. Soft stools Could be the vaccine booster or something else.

Release 9 — day 28, dose 3

2021-09-16

Symptoms: Very soft stool towards diarrhea. Have to take immodium to combat it which works for a couple of days and then back. As Ive said before, I have a dairy allergy so sometimes I think its something Ive eaten but its ado when Im cooking.

Release 9 — day 35, dose 3

2021-09-26

Symptoms: Cycle of very soft stools to diarrhea. With immodium Im good for a couple of days, then head back to soft stools and then diarrhea.Also, with 1stdose -bumps in front lymph nodes. 2nd dose bumps back Lnodes.3rd dose small bumps below back LNs

Release 11 — 6 months, dose 3

2022-02-18

Symptoms: Chronic Soft stools continue. Got Moderna booster half dose on 2/1 and was exposed2:9-2:11 to my husband who tested positive for COVID. Then he isolated from me. Today feeling awful. Headache, congestion, achey,nauseas. Rapid test neg waiting 4pcr cut off by CDC

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Faeces soft	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Gait disturbance	✓	✓	✓
SD	Headache	·	·	✓
SD	Hot flush	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Limb injury	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nausea	·	·	✓
SD	Night sweats	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Vaccination site pain	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Chills	✓	·	✓
SRO	Cold sweat	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dizziness postural	✓	✓	✓
SRO	Faeces soft	✓	✓	✓
SRO	Feeling hot	✓	·	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Head discomfort	✓	·	✓
SRO	Headache	✓	✓	✓
SRO	Hot flush	✓	·	✓
SRO	Hypoaesthesia	✓	·	✓
SRO	Hypoaesthesia oral	✓	·	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Injection site urticaria	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	·	✓
SRO	Night sweats	✓	·	✓
SRO	Paraesthesia	✓	·	✓
SRO	Paraesthesia oral	✓	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	·	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vertigo	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release