YLA-29881-66472

2 vaccinations 21 coded responses 22 check-ins 21 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 278 / NC
Registered: 2021-03-20

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-18
Dose 1 — Moderna
2021-03-20
Registered in v-safe
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Orange size swelling in arm pit of same arm injection received, swelling has increased throughout the day.

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: Axillary pain, Dyspnoea, Lip swelling, Oedema peripheral, Swelling face — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Still have swelling in armpit of injection arm. Swelling is tender to touch. Facial and lip swelling this morning. Shortness of breath with light activity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Fatigue, Flatulence, Infrequent bowel movements, Lymph node pain, Oedema peripheral — Feeling: Fair · Site: Pain, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Continue to have swelling in armpit of arm injection received. Lymph node under chin on injection side is tender. Went out to run errands, entire back started hurting after only being out for 1 and 1/2 hours. Got home was exhausted and took a 3 hour nap. Now still really tired. Stomach bubbly, bowel movements slow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Lymphadenopathy, Oedema peripheral — Feeling: Fair · Site: Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Continue to have swelling in armpit of the arm where vaccine injected. Swollen lymph nodes under chin. Very had to do any activities due to extreme fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Back pain, Dyspnoea exertional, Eye swelling, Lip swelling, Loss of personal independence in daily activities, Lymph node pain, Myalgia, Oedema peripheral, Pain, Swelling face — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Continue to have swelling in armpit of the injection arm. Swelling is still the size of an orange. Tender lymph nodes under chin on same side of injection. Having facial swelling including eyes and lips that started the day after injection. Back and muscle pain still intense and limits activities and causes sharp pain with movement. My energy level is very low. Ive also noticed having shortness of breath when doing minimal activities or just walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 7, dose 1
MedDRA: Back pain, Dyspnoea, Lip swelling, Lymphadenopathy, Middle insomnia, Oedema peripheral, Pain, Swelling face — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Continue to have swelling in armpit of injection arm and lymph nodes under chin swollen. Short of breath with minimal to no activity. Back pains intense when moving and changing positions. Facial , lips swelling. Having to take naps from exhaustion. Awakened often throughout night due to pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 14, dose 1
MedDRA: Asthenia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Deep muscular pain all over, neck and shoulders more intense. Wrist and ankle weakness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 21, dose 1
MedDRA: Asthenia, Dyspnoea, Fatigue, Loss of personal independence in daily activities, Myalgia, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased shortness of breath with little activity. Increased muscle pains feeling deep and intense. Tired and low energy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Dose 2 — Moderna
2021-04-14
Survey response — day 0, dose 2
MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Neck pain and stiffness on side of injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tingling in lower arm of injection arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Pain — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had same intense pains yesterday. Continue with neck stiffness on both sides and shoulders.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea exertional, Musculoskeletal stiffness — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Neck and shoulders continue to feel stiff. Still experiencing shortness of breath with minimal activity that started after first vaccine dose.

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: Dyspnoea, Musculoskeletal stiffness — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still having shortness of breath after walking, bending and moving around. Neck and shoulders have stiffness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 2
MedDRA: Fatigue, Musculoskeletal stiffness — Feeling: Fair · Site: Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Continue to feel tired and stiffness in neck and shoulders.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 14, dose 2
MedDRA: Oedema peripheral — Feeling: Fair

Free text: Swelling in armpit of injection arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 21, dose 2
MedDRA: Headache, Injection site pruritus, Oedema peripheral — Feeling: Fair · Be unable to do your normal daily activities

Free text: Arm itching at injection site. Had debilitating headache for a full day. Continue to have swelling in armpit of injection arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 28, dose 2
MedDRA: Arthralgia, Back pain, Dyspnoea, Gingival pain, Glossodynia, Injection site pruritus, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Area of injection still very itchy. Continue with deep neck and shoulders pain. Lower back pain has increased and painful to lay on. Yesterday noticed sore gums in mouth and felt some small bumps on gum line, tongue sore. SOB with movements.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Fatigue, Gingival pain, Injection site pruritus, Neck pain, Oral disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continue to have itching at injection site. Have sore gums and small nodules on gum line in front of the mouth. Continue with fatigue and shortness of breath with some activities. Neck pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 42, dose 2
MedDRA: Arthralgia, Back pain, Fatigue, Muscle spasms, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continue with intense neck, shoulders, upper and all the back pain and spasms. Still having fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Colitis, Emergency care, Gait inability, Gastrointestinal disorder, Myalgia, Nausea, Office visit, Pain in extremity, Respiratory tract congestion, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Continue to have intense muscle pain in neck, shoulders, back and started having severe foot pain in both feet. Feet pain makes me unable to walk sometimes. Stomach and digestive problems, a lot of nausea and congestion. · Healthcare visit (other): Pain specialist did steroid injections in right and left upper back/neck muscles. Have been to ER for vomiting and dx with colitis.

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
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

Emergency room or emergency department visit · 1 call case(s)
2021-10-14
Call successful
Participant prefers to complete VAERS report online
2022-04-14
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Pain in extremity — 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: Daily feet pain in ankles, sides and bottom of feet.

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
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 — Could Not Reach Participant
2022-04-22
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-14	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-10-13	Successful 2021-10-14	Participant prefers to complete VAERS report online
2022-04-14	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Orange size swelling in arm pit of same arm injection received, swelling has increased throughout the day.

2021-03-21

Systemic reaction (other): Still have swelling in armpit of injection arm. Swelling is tender to touch. Facial and lip swelling this morning. Shortness of breath with light activity.

2021-03-22

Systemic reaction (other): Continue to have swelling in armpit of arm injection received. Lymph node under chin on injection side is tender. Went out to run errands, entire back started hurting after only being out for 1 and 1/2 hours. Got home was exhausted and took a 3 hour nap. Now still really tired. Stomach bubbly, bowel movements slow.

2021-03-23

Systemic reaction (other): Continue to have swelling in armpit of the arm where vaccine injected. Swollen lymph nodes under chin. Very had to do any activities due to extreme fatigue.

2021-03-24

Systemic reaction (other): Continue to have swelling in armpit of the injection arm. Swelling is still the size of an orange. Tender lymph nodes under chin on same side of injection. Having facial swelling including eyes and lips that started the day after injection. Back and muscle pain still intense and limits activities and causes sharp pain with movement. My energy level is very low. Ive also noticed having shortness of breath when doing minimal activities or just walking.

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): Continue to have swelling in armpit of injection arm and lymph nodes under chin swollen. Short of breath with minimal to no activity. Back pains intense when moving and changing positions. Facial , lips swelling. Having to take naps from exhaustion. Awakened often throughout night due to pain.

Release 6 — day 14, dose 1

2021-04-01

Symptoms: Deep muscular pain all over, neck and shoulders more intense. Wrist and ankle weakness.

Release 7 — day 21, dose 1

2021-04-08

Symptoms: Increased shortness of breath with little activity. Increased muscle pains feeling deep and intense. Tired and low energy.

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): Neck pain and stiffness on side of injection.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Tingling in lower arm of injection arm.

2021-04-17

Systemic reaction (other): Had same intense pains yesterday. Continue with neck stiffness on both sides and shoulders.

2021-04-18

Systemic reaction (other): Neck and shoulders continue to feel stiff. Still experiencing shortness of breath with minimal activity that started after first vaccine dose.

2021-04-19

Systemic reaction (other): Still having shortness of breath after walking, bending and moving around. Neck and shoulders have stiffness.

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Continue to feel tired and stiffness in neck and shoulders.

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Swelling in armpit of injection arm.

Release 8 — day 21, dose 2

2021-05-05

Symptoms: Arm itching at injection site. Had debilitating headache for a full day. Continue to have swelling in armpit of injection arm.

Release 8 — day 28, dose 2

2021-05-12

Symptoms: Area of injection still very itchy. Continue with deep neck and shoulders pain. Lower back pain has increased and painful to lay on. Yesterday noticed sore gums in mouth and felt some small bumps on gum line, tongue sore. SOB with movements.

Release 8 — day 35, dose 2

2021-05-19

Symptoms: Continue to have itching at injection site. Have sore gums and small nodules on gum line in front of the mouth. Continue with fatigue and shortness of breath with some activities. Neck pains.

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Continue with intense neck, shoulders, upper and all the back pain and spasms. Still having fatigue.

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Continue to have intense muscle pain in neck, shoulders, back and started having severe foot pain in both feet. Feet pain makes me unable to walk sometimes. Stomach and digestive problems, a lot of nausea and congestion.

Healthcare visit (other): Pain specialist did steroid injections in right and left upper back/neck muscles. Have been to ER for vomiting and dx with colitis.

Release 11 — 12 months, dose 2

2022-04-14

Symptoms: Daily feet pain in ankles, sides and bottom of feet.

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	Colitis	·	·	✓
HCVO	Emergency care	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Vomiting	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gait inability	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Gingival pain	✓	✓	✓
SD	Glossodynia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Oral disorder	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Dyspnoea exertional	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Infrequent bowel movements	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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