6MM-32500-13006

3 vaccinations 17 coded responses 23 check-ins 17 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 028 / RI
Registered: 2021-02-05

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-04
Dose 1 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Back pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: lower back pain, burning in joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle tightness — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Nausea

Free text: neck muscle tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle tightness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Nausea

Free text: neck muscles tight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Head discomfort, Musculoskeletal discomfort — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches

Free text: discomfort from back of neck into lower part of head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-02-11
Survey response — day 7, dose 1
MedDRA: Muscle tightness — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Free text: neck muscle tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Survey response — day 21, dose 1
MedDRA: Headache, Neck pain, Pruritus, Throat irritation — Feeling: Fair

Free text: itching in ear canal and throat, itching on torso same side as shot, pain in lower head/left of nape of neck,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Dose 2 — Moderna
2021-03-04
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Throat tightness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: throat tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Discomfort — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: lower back pain causing discomfort while walking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Nausea

Free text: stomach pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Headache, Neck pain — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: stomach pain, base of head/neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Back pain, Headache, Migraine — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: stomach pain, lower back of to side of head pain, migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Migraine — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: pain up left side of head from base causing a migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — day 7, dose 2
MedDRA: Office visit — Feeling: Good · Muscle or body aches · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Primary care visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Call successful
Participant prefers to complete VAERS report online
2021-12-06
Dose 3 — Moderna
2022-03-04
Survey response — 12 months, dose 2
MedDRA: Muscle spasms, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Severe leg and hand cramps · Healthcare visit (other): PCP

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
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

1 call case(s)
2022-03-08
Survey response — 3 months, dose 3
MedDRA: Memory impairment — Feeling: Good

Free text: Forgetting easy things like names, where places are located, going into a room for something then leaving it there

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Call 1 — Left Voicemail
2022-03-31
Call 2 — Left Voicemail
2022-04-04
Call successful
Participant prefers to complete VAERS report online
2022-06-08
Survey response — 6 months, dose 3
MedDRA: Abdominal pain upper, Migraine, Oesophagitis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Stomach pains, esophagitis, migraine pain changes

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-09
Call successful
Participant prefers to complete VAERS report online
2022-12-09
Survey response — 12 months, dose 3
MedDRA: COVID-19, Eye pain, Migraine, Office visit, Pre-existing disease, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Migraines have changed. Im unable to focus out of left eye before the migraine starts, then the pain stays behind that eye for most of the migraine - I believe the changes are from covid not the vaccine · Healthcare visit (other): Saw my primary care

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna
3	2021-12-06	Moderna	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): lower back pain, burning in joints

2021-02-07

Systemic reaction (other): neck muscle tightness

2021-02-08

Systemic reaction (other): neck muscles tight

2021-02-09

Systemic reaction (other): discomfort from back of neck into lower part of head

Release 4 — day 7, dose 1

2021-02-11

Systemic reaction (other): neck muscle tightness

Release 4 — day 21, dose 1

2021-02-25

Symptoms: itching in ear canal and throat, itching on torso same side as shot, pain in lower head/left of nape of neck,

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): throat tightness

2021-03-06

Systemic reaction (other): lower back pain causing discomfort while walking

2021-03-07

Systemic reaction (other): stomach pain

2021-03-08

Systemic reaction (other): stomach pain, base of head/neck pain

2021-03-09

Systemic reaction (other): stomach pain, lower back of to side of head pain, migraine

2021-03-10

Systemic reaction (other): pain up left side of head from base causing a migraine

Release 5 — day 7, dose 2

2021-03-14

Healthcare visit (other): Primary care visit

Release 11 — 12 months, dose 2

2022-03-04

Symptoms: Severe leg and hand cramps

Healthcare visit (other): PCP

Release 11 — 3 months, dose 3

2022-03-08

Symptoms: Forgetting easy things like names, where places are located, going into a room for something then leaving it there

Release 11 — 6 months, dose 3

2022-06-08

Symptoms: Stomach pains, esophagitis, migraine pain changes

Release 12 — 12 months, dose 3

2022-12-09

Symptoms: Migraines have changed. Im unable to focus out of left eye before the migraine starts, then the pain stays behind that eye for most of the migraine - I believe the changes are from covid not the vaccine

Healthcare visit (other): Saw my primary care

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	Abdominal pain upper	·	·	✓
SD	COVID-19	·	·	✓
SD	Eye pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Memory impairment	·	·	✓
SD	Migraine	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Oesophagitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SD	Vision blurred	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Throat tightness	✓	✓	✓

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