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YUL-13243-63028

5 vaccinations 17 coded responses 56 check-ins 15 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
787 / TX
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-09
    Registered in v-safe
  2. 2021-02-09
    Dose 1 — Moderna
  3. 2021-02-09
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-09
    Dose 2 — Moderna
  14. 2021-03-09
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  15. 2021-03-10
    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, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to work
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Dizziness, Feeling hot, Headache, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Dizziness and severe pain from my head to my feet but only on the back side of my body. Loss of appetite. Feeling hot all over.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Crying, Dysgeusia, Fatigue, Headache, Neck pain, Pain in extremity, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Metallic taste in mouth. Had to take Tynanol today for the pain in my back neck head & legs As became quite unbearable. The pain comes in troughs and waves starting mild and becoming too severe and caused me to cry. Feeling exhausted with this process now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Flushing, Pain, Sensitive skin — Feeling: Poor · Site: Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Feeling flushed mostly when experiencing pain severely. Today my arms and legs had weird sensations like nerve sensitivity as well as back, neck, shoulder pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Dizziness, Emergency care, Fatigue, Headache, Malaise, Pain, Self-medication, Sensory disturbance — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Free text: Went to hospital emergency at 4am this morning as the pain was so bad that I was sobbing and the Tynanol was not helping. They did tests and sent me home to keep using Tynanol or Ibuprofen, which I used throughout the day. My husband started massaging my back pain and that was helpful in easing the pain. Still feeling poorly, dizzy, exhausted, headachy, back and ringed torso pain and nerve sensations down my arms and legs.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-16
    Survey response — day 7, dose 2
    MedDRA: Arthralgia, Back pain, Insomnia, Massage, Pain, Self-medication, Sleep disorder, Spinal pain, Urticaria — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work
    Free text: Slept for two hours, then woke up at midnight in pain all over and couldnt go back to sleep. Took Advil one at 3am and walked around the house to cope with the pain. Went back to sleep about 6am for a couple of hours. One more Advil at 9am and Mainly joint pain today. Massages helped back/spine pain. Had a respite for a couple of hours where the pain was dulled. Pain all over came back severely at 2.30 so had one more Advil. Stopped taking Tynanol as I broke out in hives on my face and chest. Not sure Ill take Moderna again!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-23
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-03-30
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Discomfort, Myalgia — Feeling: Fair · Be unable to work
    Free text: I have been in severe muscle and joint pain for two weeks following my second Moderna shot. It has gradually eased to discomfort and aches in joints daily.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-06
    Survey response — day 28, dose 2
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: No not really it its weeks since my second jab and I still feel very tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-13
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-04-20
    Survey response — day 42, dose 2
    MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to work
    Free text: Still very tired, and not 100%, but no worsening symptoms. I pressed yes, so I could record this. Needed the box option for no too. Will someone contact me because my reaction to the 2nd Moderna was extreme pain for 2 weeks. (b)(6)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-06-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-09
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Fatigue, Myalgia, Neuralgia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Ive said yes so I could comment, but other than tiredness I have no new symptoms. However, I had two weeks of muscle, nerve, & joint pain following my second Moderna vaccine shot & no one has bothered to contact me to discuss this. Phone(b)(6)
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-09-09
    Report sent to call center — 6 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
    1 call case(s)
  30. 2021-09-15
    Call successful
    Does not wish to fill out VAERS report
  31. 2021-12-10
    Dose 3 — Moderna
  32. 2021-12-10
    Health check-in — day 0, dose 3
    Feeling: Good · Headache
    Adult check-in
  33. 2021-12-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Loss of appetite
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Muscle or body aches
    Adult check-in
  35. 2021-12-13
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Fatigue, Myalgia, Neuralgia — Feeling: Good
    Free text: Still a little tired but symptoms eased. After the second moderna I experienced such severe muscle, joint & nerve pain for two weeks, so I'm pleased this didn't happen for the booster!
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-12-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Exercise tolerance decreased, Fatigue — Feeling: Good
    Free text: Still More tired than usual. Exercising is not as easy as previously
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-12-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-12-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2021-12-17
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  40. 2021-12-24
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-02
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-07
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-14
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-01-22
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-05-19
    Dose 4 — Moderna
  46. 2022-05-19
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-05-20
    Survey response — days 1–6 daily, dose 4
    MedDRA: Insomnia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Didn't sleep much last night
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-05-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  49. 2022-05-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Redness · Fatigue or tiredness
    Adult check-in
  50. 2022-05-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  51. 2022-05-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness · None
    Adult check-in
  52. 2022-05-26
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Redness · None
    Adult check-in
  53. 2022-06-02
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-06-18
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-06-23
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-06-30
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-08-20
    Survey response — 3 months, dose 4
    MedDRA: Cough, Dry throat, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Runny nose, cough, dry throat but tested negative three times for covid
    MedDRA releases: 2024-11 · check-in free text available
  58. 2022-11-17
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  59. 2023-05-02
    Dose 5 — Moderna
  60. 2023-05-08
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  61. 2023-05-11
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  62. 2023-05-16
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  63. 2023-05-25
    Survey response — day 21, dose 5
    MedDRA: Chest discomfort, Decreased appetite, Dry mouth, Feeling hot, Headache, Insomnia, Pain — Feeling: Poor · Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  64. 2023-05-30
    Survey response — day 28, dose 5
    MedDRA: Cough, Diarrhoea, Headache — Feeling: Poor · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-09Moderna
32021-12-10Moderna No
42022-05-19Moderna No
52023-05-02Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-09-09 Successful
2021-09-15
Does not wish to fill out VAERS report

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Dizziness

2021-03-12

Systemic reaction (other): Dizziness and severe pain from my head to my feet but only on the back side of my body. Loss of appetite. Feeling hot all over.

2021-03-13

Systemic reaction (other): Metallic taste in mouth. Had to take Tynanol today for the pain in my back neck head & legs As became quite unbearable. The pain comes in troughs and waves starting mild and becoming too severe and caused me to cry. Feeling exhausted with this process now.

2021-03-14

Systemic reaction (other): Feeling flushed mostly when experiencing pain severely. Today my arms and legs had weird sensations like nerve sensitivity as well as back, neck, shoulder pain.

2021-03-15

Systemic reaction (other): Went to hospital emergency at 4am this morning as the pain was so bad that I was sobbing and the Tynanol was not helping. They did tests and sent me home to keep using Tynanol or Ibuprofen, which I used throughout the day. My husband started massaging my back pain and that was helpful in easing the pain. Still feeling poorly, dizzy, exhausted, headachy, back and ringed torso pain and nerve sensations down my arms and legs.

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): Slept for two hours, then woke up at midnight in pain all over and couldnt go back to sleep. Took Advil one at 3am and walked around the house to cope with the pain. Went back to sleep about 6am for a couple of hours. One more Advil at 9am and Mainly joint pain today. Massages helped back/spine pain. Had a respite for a couple of hours where the pain was dulled. Pain all over came back severely at 2.30 so had one more Advil. Stopped taking Tynanol as I broke out in hives on my face and chest. Not sure Ill take Moderna again!

Release 6 — day 21, dose 2

2021-03-30

Symptoms: I have been in severe muscle and joint pain for two weeks following my second Moderna shot. It has gradually eased to discomfort and aches in joints daily.

Release 7 — day 28, dose 2

2021-04-06

Symptoms: No not really it its weeks since my second jab and I still feel very tired.

Release 7 — day 42, dose 2

2021-04-20

Symptoms: Still very tired, and not 100%, but no worsening symptoms. I pressed yes, so I could record this. Needed the box option for no too. Will someone contact me because my reaction to the 2nd Moderna was extreme pain for 2 weeks. (b)(6)
redacted (b)(6)

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: Ive said yes so I could comment, but other than tiredness I have no new symptoms. However, I had two weeks of muscle, nerve, & joint pain following my second Moderna vaccine shot & no one has bothered to contact me to discuss this. Phone(b)(6)
redacted (b)(6)

Release 10 — days 1–6 daily, dose 3

2021-12-11

Systemic reaction (other): Loss of appetite

2021-12-13

Systemic reaction (other): Still a little tired but symptoms eased. After the second moderna I experienced such severe muscle, joint & nerve pain for two weeks, so I'm pleased this didn't happen for the booster!

2021-12-14

Systemic reaction (other): Still More tired than usual. Exercising is not as easy as previously

Release 11 — days 1–6 daily, dose 4

2022-05-20

Systemic reaction (other): Didn't sleep much last night

Release 12 — 3 months, dose 4

2022-08-20

Symptoms: Runny nose, cough, dry throat but tested negative three times for covid

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDChest discomfort · · ✓
SDCough · · ✓
SDDecreased appetite · · ✓
SDDiarrhoea · · ✓
SDDiscomfort ✓ ✓ ✓
SDDry mouth · · ✓
SDDry throat · · ✓
SDFatigue ✓ ✓ ✓
SDFeeling hot · · ✓
SDHeadache · · ✓
SDInsomnia · · ✓
SDMyalgia ✓ ✓ ✓
SDNeuralgia · · ✓
SDPain ✓ ✓ ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SROArthralgia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROCrying ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROExercise tolerance decreased · · ✓
SROFatigue ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInsomnia · · ✓
SROMalaise ✓ ✓ ✓
SROMassage · · ✓
SROMyalgia · · ✓
SRONeck pain ✓ ✓ ✓
SRONeuralgia · · ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSensitive skin ✓ ✓ ✓
SROSensory disturbance ✓ ✓ ✓
SROSleep disorder · · ✓
SROSpinal pain ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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