Y7F-26558-17207

2 vaccinations 5 coded responses 27 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 613 / IL
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Survey response — day 0, dose 1
MedDRA: Erythema, Feeling hot, Peripheral swelling — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Free text: My hands turned hot and swollen and bright red about an hour after i left but it went away shortly after.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-01-28
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-29
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

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good

Free text: Since having the first injection, I have had an intermittent pain through my head, not like a typical headache. It is a sharp, shooting pain that travels like a line through my head in a specific place, not all over as headaches are. It is only a short lived thing and only a few times a day. Nothing major but it is happening. I did not have this happen before vaccinations and could be nothing. You asked and since it has not stopped I figured you know more than I do.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — 3 months, dose 2
MedDRA: Tendonitis — 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, Outpatient clinic or urgent care clinic visit

Free text: Unexplained tendonitis in shoulders, elbows and ankles; had to have diagnostic mammogram and ultrasound because they saw something but say it is fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Call successful
Participant prefers to complete VAERS report online
2021-07-31
Survey response — 6 months, dose 2
MedDRA: Tendon disorder, Tendonitis — Feeling: Good · 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: Random extreme tendonitis and tendonosis

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
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)
2021-08-05
Call successful
Does not wish to fill out VAERS report
2022-01-30
Survey response — 12 months, dose 2
MedDRA: Kidney infection, Spinal pain, Urinary tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: UTI Kidney infection Extreme pain in spine for 4 days after booster

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-02-01
Call 1 — Could Not Reach Participant
2022-02-04
Call 2 — Left Voicemail
2022-02-04
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-28	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2020-12-30	priority 2/3
2021-05-01	Successful 2021-06-08	Participant prefers to complete VAERS report online
2021-07-31	Successful 2021-08-05	Does not wish to fill out VAERS report
2022-01-30	Successful 2022-02-04	Does not wish to fill out VAERS report

Free text

Release 1 — day 0, dose 1

2020-12-29

Systemic reaction (other): My hands turned hot and swollen and bright red about an hour after i left but it went away shortly after.

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Since having the first injection, I have had an intermittent pain through my head, not like a typical headache. It is a sharp, shooting pain that travels like a line through my head in a specific place, not all over as headaches are. It is only a short lived thing and only a few times a day. Nothing major but it is happening. I did not have this happen before vaccinations and could be nothing. You asked and since it has not stopped I figured you know more than I do.

Release 8 — 3 months, dose 2

2021-05-01

Symptoms: Unexplained tendonitis in shoulders, elbows and ankles; had to have diagnostic mammogram and ultrasound because they saw something but say it is fine.

Release 9 — 6 months, dose 2

2021-07-31

Symptoms: Random extreme tendonitis and tendonosis

Release 11 — 12 months, dose 2

2022-01-30

Symptoms: UTI Kidney infection Extreme pain in spine for 4 days after booster

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
SD	Kidney infection	·	·	✓
SD	Spinal pain	·	·	✓
SD	Tendon disorder	✓	·	✓
SD	Tendonitis	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	○	○	○
SRO	Peripheral swelling	✓	✓	✓

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