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YYR-91713-19995

7 vaccinations 17 coded responses 50 check-ins 16 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
339 / FL
Registered
2021-08-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-12
    Dose 1 — Moderna
  2. 2021-04-09
    Dose 2 — Moderna
  3. 2021-08-28
    Dose 3 — Moderna
  4. 2021-08-29
    Registered in v-safe
  5. 2021-08-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: C-reactive protein increased, Skin burning sensation — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Elevated CRPS Skin Burn
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-08-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  7. 2021-08-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  8. 2021-09-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Full blood count abnormal, Monocyte count increased — Feeling: Good · Site: Pain
    Free text: Coincidental CBC blood draw was done 2 days post-booster. Interesting to see my monocyte % was 19.2 (4.0-9.0), which was more than double previous check in 2019. Vax connection???
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-09-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-09-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-09-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-09-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-09-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-09-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-10-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-10-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-11-27
    Survey response — 3 months, dose 3
    MedDRA: Bronchitis, Sinusitis, Upper respiratory tract infection — 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: Currently have URI....sinus infection & bronchitis. PCR = negative a week ago
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-11-27
    Report sent to call center — 3 months, dose 3
    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)
  19. 2021-11-30
  20. 2022-01-28
    Dose 4 — Moderna
  21. 2022-01-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  22. 2022-01-30
    Survey response — days 1–6 daily, dose 4
    MedDRA: Axillary pain — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain
    Free text: Arm pit sore on injection side (yesterday & today)
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-01-31
    Survey response — days 1–6 daily, dose 4
    MedDRA: Axillary pain — Feeling: Good · Muscle or body aches
    Free text: Injection-side armpit soreness (mild)
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-02-01
    Survey response — days 1–6 daily, dose 4
    MedDRA: Axillary pain — Feeling: Good
    Free text: Mild soreness in armpit (injection side)
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-02-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-02-03
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-02-04
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  28. 2022-02-11
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-02-18
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-02-25
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-03-04
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-03-11
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-04-29
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-07-13
    Dose 5 — Moderna
  35. 2022-07-14
    Survey response — days 1–6 daily, dose 5
    MedDRA: Arthralgia, Back pain, Musculoskeletal stiffness, Pain in extremity, Pyrexia, Skin burning sensation — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Skin-burning sensation; significant pain in hands, wrists, & back (coild not make fists). Unsure how high fever was in the middle of the night and the peak of significant pain.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-07-15
    Survey response — days 1–6 daily, dose 5
    MedDRA: Lymph node pain — Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches
    Free text: Very sore lymph nodes in vax-side armpit
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-07-16
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  38. 2022-07-17
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  39. 2022-07-18
    Survey response — days 1–6 daily, dose 5
    MedDRA: Motor dysfunction, Pain in extremity, Pyrexia — Feeling: Good · Site: Pain · Joint pains
    Free text: Pain in both hands continues, since booster #5. Difficult & painful to make fists & grasp things (crazy). When I was running a fever (hours 12-24), the bi-lateral hand pain was close to unbearable. Not an issue w/ shots 1-4.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-07-19
    Survey response — days 1–6 daily, dose 5
    MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good · Site: Pain, Swelling · Joint pains
    Free text: Hand pain continues and fingers are slightly swollen.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-07-20
    Survey response — day 7, dose 5
    MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good · Site: Pain, Swelling · Joint pains
    Free text: Pain & mild swelling in hands continue
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-07-27
    Survey response — day 14, dose 5
    MedDRA: Fatigue, Headache, Pain in extremity — Feeling: Fair
    Free text: Fatigue post-vax has slightly worsened. I have used take-home rapid tests multiple times, but negative. Slight headache (unusual for me) and continued pain in hands/fingers, since vax 2 weeks ago.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-08-03
    Health check-in — day 21, dose 5
    Feeling: Fair
    Adult check-in
  44. 2022-08-10
    Survey response — day 28, dose 5
    MedDRA: Condition aggravated, Joint stiffness, Motor dysfunction, Musculoskeletal disorder, Pain in extremity, Pre-existing disease — Feeling: Good
    Free text: Post-vax hand/finger issues have not resolved (yet). Tight, painfull, unable to make fist (esp after being at rest), and can be difficult to hold/grip items (i.e. pencil, brush, etc). Concerned the vax has awakened a dormant issue. Ugh.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-08-17
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  46. 2022-08-24
    Survey response — day 42, dose 5
    MedDRA: Fatigue, Immediate post-injection reaction, Musculoskeletal stiffness, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Consider continuation option of reported symptoms. Mine are not new or worse, but definitely continued & concerning. Pain/stiff in vax-side hand immediately post-shot, then both hands/fingers within 12 hours, & significant fatigue continues.
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-09-13
    Dose 6 — Moderna
  48. 2022-09-13
    Survey response — day 0, dose 6
    MedDRA: Arthralgia, Pain in extremity, Skin tightness — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Pain on the back of my hands, wrists, and fingers are tight
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-09-14
    Survey response — days 1–6 daily, dose 6
    MedDRA: Arthralgia, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Pain in hands & wrists
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-09-18
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  51. 2022-09-19
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  52. 2022-09-20
    Health check-in — day 7, dose 6
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  53. 2022-09-27
    Health check-in — day 14, dose 6
    Feeling: Good
    Adult check-in
  54. 2022-10-04
    Health check-in — day 21, dose 6
    Feeling: Good
    Adult check-in
  55. 2022-10-11
    Health check-in — day 28, dose 6
    Feeling: Good
    Adult check-in
  56. 2022-10-18
    Health check-in — day 35, dose 6
    Feeling: Good
    Adult check-in
  57. 2022-10-25
    Health check-in — day 42, dose 6
    Feeling: Good
    Adult check-in
  58. 2022-12-13
    Health check-in — 3 months, dose 6
    Feeling: Good
    Adult check-in
  59. 2023-01-28
    Dose 7 — Moderna
  60. 2023-03-14
    Survey response — 6 months, dose 6
    MedDRA: Influenza, Vertigo — Feeling: Poor · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Moderna No
22021-04-09Moderna No
32021-08-28Moderna No
42022-01-28Moderna No
52022-07-13Moderna No
62022-09-13Moderna No
72023-01-28Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-11-27 Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 3

2021-08-29

Systemic reaction (other): Elevated CRPS Skin Burn

2021-09-01

Systemic reaction (other): Coincidental CBC blood draw was done 2 days post-booster. Interesting to see my monocyte % was 19.2 (4.0-9.0), which was more than double previous check in 2019. Vax connection???

Release 10 — 3 months, dose 3

2021-11-27

Symptoms: Currently have URI....sinus infection & bronchitis. PCR = negative a week ago

Release 11 — days 1–6 daily, dose 4

2022-01-30

Systemic reaction (other): Arm pit sore on injection side (yesterday & today)

2022-01-31

Systemic reaction (other): Injection-side armpit soreness (mild)

2022-02-01

Systemic reaction (other): Mild soreness in armpit (injection side)

Release 12 — days 1–6 daily, dose 5

2022-07-14

Systemic reaction (other): Skin-burning sensation; significant pain in hands, wrists, & back (coild not make fists). Unsure how high fever was in the middle of the night and the peak of significant pain.

2022-07-15

Systemic reaction (other): Very sore lymph nodes in vax-side armpit

2022-07-18

Systemic reaction (other): Pain in both hands continues, since booster #5. Difficult & painful to make fists & grasp things (crazy). When I was running a fever (hours 12-24), the bi-lateral hand pain was close to unbearable. Not an issue w/ shots 1-4.

2022-07-19

Systemic reaction (other): Hand pain continues and fingers are slightly swollen.

Release 12 — day 7, dose 5

2022-07-20

Systemic reaction (other): Pain & mild swelling in hands continue

Release 12 — day 14, dose 5

2022-07-27

Symptoms: Fatigue post-vax has slightly worsened. I have used take-home rapid tests multiple times, but negative. Slight headache (unusual for me) and continued pain in hands/fingers, since vax 2 weeks ago.

Release 12 — day 28, dose 5

2022-08-10

Symptoms: Post-vax hand/finger issues have not resolved (yet). Tight, painfull, unable to make fist (esp after being at rest), and can be difficult to hold/grip items (i.e. pencil, brush, etc). Concerned the vax has awakened a dormant issue. Ugh.

Release 12 — day 42, dose 5

2022-08-24

Symptoms: Consider continuation option of reported symptoms. Mine are not new or worse, but definitely continued & concerning. Pain/stiff in vax-side hand immediately post-shot, then both hands/fingers within 12 hours, & significant fatigue continues.

Release 12 — day 0, dose 6

2022-09-13

Systemic reaction (other): Pain on the back of my hands, wrists, and fingers are tight

Release 12 — days 1–6 daily, dose 6

2022-09-14

Systemic reaction (other): Pain in hands & wrists

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
SDBronchitis · · ✓
SDCondition aggravated · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDImmediate post-injection reaction · · ✓
SDInfluenza · · ✓
SDJoint stiffness · · ✓
SDMotor dysfunction · · ✓
SDMusculoskeletal disorder · · ✓
SDMusculoskeletal stiffness · · ✓
SDPain in extremity · · ✓
SDPre-existing disease · · ✓
SDSinusitis · · ✓
SDUpper respiratory tract infection · · ✓
SDVertigo · · ✓
SROArthralgia · · ✓
SROAxillary pain · · ✓
SROBack pain · · ✓
SROC-reactive protein increased ✓ · ✓
SROFull blood count abnormal ✓ · ✓
SROLymph node pain · · ✓
SROMonocyte count increased ✓ · ✓
SROMotor dysfunction · · ✓
SROMusculoskeletal stiffness · · ✓
SROPain in extremity · · ✓
SROPeripheral swelling · · ✓
SROPyrexia · · ✓
SROSkin burning sensation ✓ · ✓
SROSkin tightness · · ✓

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