6LB-30007-82015

2 vaccinations 16 coded responses 22 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 128 / NY
Registered: 2021-03-17

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-16
Dose 1 — Moderna
2021-03-17
Registered in v-safe
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Epistaxis, Rhinorrhoea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Runny nose, bloody nose (twice today)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain, Sinus congestion — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sinus congestion, very sore eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Very runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Back pain — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Joints are hurting that have never hurt me before. Back pain is severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Survey response — day 7, dose 1
MedDRA: Epistaxis, Rash — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Bloody nose last night again...Strange rash upper back near arm that had vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 14, dose 1
MedDRA: Condition aggravated, Myalgia, Pre-existing disease, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worse joint pain...rash on shoulder into back...severe muscle pain in back, keeping me up at night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 21, dose 1
MedDRA: Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ive had fever several evenings (100 +)..my temp is usually 97 range. Muscle pain (especially back) has not improved, and I do yoga everyday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pain, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have a connective tissue disease so have pain daily, but it has worsened over these weeks since vaccines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Pregnancy registry survey
Not pregnant at or since vaccination ·
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My arm (vaccinated arm) is more swollen and red going down the entire upper arm today. Ive started to apply moist heat to see if that helps alleviate some of this

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My vaccine arm is still very swollen and red, and it has spread, the last several days, down the arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 2
MedDRA: Arthralgia, Contusion, Peripheral swelling, Pre-existing disease, Skin discolouration — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vaccinated arm still swollen (looks fluid filled) upper half and now black and blue...all usual joint pain is more severe since vaccinations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 14, dose 2
MedDRA: Arthralgia, Fatigue, Muscle spasms, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint and muscle pain worse. Fatigue is even more pronounced. Experiencing cramping (enough time awaken me at night) in lower extremities...legs and feet, and I rarely cramp prior to vaccines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Survey response — day 28, dose 2
MedDRA: Arthralgia, Headache, Herpes zoster, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have developed shingles on my upper back up to shoulders. My joint pain has gotten worse overall (I have underlying connective tissue disease) each week..headaches that I dont normally have.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 42, dose 2
MedDRA: Herpes zoster, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Developed shingles on mud back up into neckWorsening joint and muscle pain all day · Healthcare visit (other): Actual in office visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Call 1 — Left Voicemail
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Electrocardiogram abnormal, Emergency care, Oedema peripheral, Office visit, Synovial rupture — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Baker's cyst suddenly formed behind left patella.ruptured and caused severe edema prompting physician to order emergency ultrasound to make sure blood clots had not formed in lower leg. Abnormal EKG at another check up with primary, requiring foll · Healthcare visit (other): Cardiology appointment and ultrasound imaging appointment

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-14
Call 1 — Left Voicemail
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Cyst drainage, Office visit, Pain, Peripheral swelling, Synovial rupture — Feeling: Fair · 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: Ruptured baker's cyst left knee with profuse swelling of entire lower leg and foot (I'm 93 pounds, so it was very painful). Cyst is still there and filling up with fluid again. Had injected by orthopedic surgeonmay need to be surgically remov. Oth · Healthcare visit (other): Imaging, surgeon visit at office and more

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Runny nose, bloody nose (twice today)

2021-03-18

Systemic reaction (other): Sinus congestion, very sore eyes

2021-03-19

Systemic reaction (other): Very runny nose

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Joints are hurting that have never hurt me before. Back pain is severe.

Release 6 — day 7, dose 1

2021-03-23

Systemic reaction (other): Bloody nose last night again...Strange rash upper back near arm that had vaccine

Release 6 — day 14, dose 1

2021-03-30

Symptoms: Worse joint pain...rash on shoulder into back...severe muscle pain in back, keeping me up at night.

Release 7 — day 21, dose 1

2021-04-06

Symptoms: Ive had fever several evenings (100 +)..my temp is usually 97 range. Muscle pain (especially back) has not improved, and I do yoga everyday

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): I have a connective tissue disease so have pain daily, but it has worsened over these weeks since vaccines

2021-04-18

Systemic reaction (other): My arm (vaccinated arm) is more swollen and red going down the entire upper arm today. Ive started to apply moist heat to see if that helps alleviate some of this

2021-04-19

Systemic reaction (other): My vaccine arm is still very swollen and red, and it has spread, the last several days, down the arm

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Vaccinated arm still swollen (looks fluid filled) upper half and now black and blue...all usual joint pain is more severe since vaccinations

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Joint and muscle pain worse. Fatigue is even more pronounced. Experiencing cramping (enough time awaken me at night) in lower extremities...legs and feet, and I rarely cramp prior to vaccines.

Release 8 — day 28, dose 2

2021-05-13

Symptoms: I have developed shingles on my upper back up to shoulders. My joint pain has gotten worse overall (I have underlying connective tissue disease) each week..headaches that I dont normally have.

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Developed shingles on mud back up into neckWorsening joint and muscle pain all day

Healthcare visit (other): Actual in office visits

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: Baker's cyst suddenly formed behind left patella.ruptured and caused severe edema prompting physician to order emergency ultrasound to make sure blood clots had not formed in lower leg. Abnormal EKG at another check up with primary, requiring foll

Healthcare visit (other): Cardiology appointment and ultrasound imaging appointment

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Ruptured baker's cyst left knee with profuse swelling of entire lower leg and foot (I'm 93 pounds, so it was very painful). Cyst is still there and filling up with fluid again. Had injected by orthopedic surgeonmay need to be surgically remov. Oth

Healthcare visit (other): Imaging, surgeon visit at office and more

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	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cyst drainage	·	·	✓
SD	Electrocardiogram abnormal	·	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oedema peripheral	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Synovial rupture	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Contusion	·	·	✓
SRO	Epistaxis	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Skin discolouration	✓	✓	○

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