YYV-15360-43992
5 vaccinations
21 coded responses
68 check-ins
21 free-text entries
9 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 521 / IA
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
C7N-19954-06633
Child or adolescent in my care · Female · 2022-02-05
Timeline
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2021-01-08
Registered in v-safe
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2021-01-08
Dose 1 — Moderna
- 2021-01-08
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2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-01-09
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-01-10
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-15
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2021-01-23
Survey response — day 14, dose 1MedDRA: Chills, Oropharyngeal pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Sore throat, chills.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
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2021-02-05
Dose 2 — Moderna
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2021-02-05
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Intermenstrual bleeding, Menstrual disorder, Muscle spasms, Pelvic pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: I am on continuous birth control and never have a period, but with both this vaccine admin and the first, one month ago, I had 2 days of pelvic cramping and break-through menstrual bleeding.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Intermenstrual bleeding, Menstrual disorder, Menstruation irregular — Feeling: Good · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Since Sat 2/6, I have continued to have breakthrough menstrual bleeding that is not normal for me. I am on continuous birth control and do not have any bleeding normally. I did experience spotting and slight cramping after 1st shot one month ago, but this is far heavier and longer in duration.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Intermenstrual bleeding — Feeling: Good · Site: Itching · Headache, Abdominal painFree text: Abnormal breakthrough menstrual bleeding continues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Intermenstrual bleeding — Feeling: Good · Site: ItchingFree text: Abnormal breakthrough menstrual bleeding continues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — day 7, dose 2MedDRA: Menstrual disorder — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Abdominal painFree text: Abnormal breakthrough menstrual bleeding continues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
- 2021-03-05
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2021-03-12
Survey response — day 35, dose 2MedDRA: Pre-existing disease — Feeling: FairFree text: Peripheral neuropathy, bilateral feetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 42, dose 2MedDRA: Neuropathy peripheral, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Peripheral neuropathy bilateral toes, started 2+ weeks after vaccine. Never had these symptoms before. I do have RA and am treated for this.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-07
- 2021-06-03
- 2021-06-08
- 2021-08-06
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2021-09-24
Dose 3 — Moderna
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2021-09-24
Health check-in — day 0, dose 3Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-09-25
Survey response — days 1–6 daily, dose 3MedDRA: Hypoaesthesia, Hypoaesthesia oral, Small fibre neuropathy — 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 activitiesFree text: Numbness to tips of fingers, toes and tongue. I did develop small fiber neuropathy after my 2nd vaccine, which did primarily subside after 6 months.MedDRA releases: 2024-11 · check-in free text available
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2021-09-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-09-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-09-28
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Itching · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-09-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2021-09-30
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-01
Health check-in — day 7, dose 3Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-10-04
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2021-10-08
Survey response — day 14, dose 3MedDRA: Hypoaesthesia, Pre-existing disease, Reaction to previous exposure to any vaccine, Small fibre neuropathy — Feeling: GoodFree text: Worsening numbness in toes and fingers related to small fiber neuropathy, which I had after 2nd shot and has now restarted with 3rd shot.MedDRA releases: 2024-11 · check-in free text available
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2021-10-17
Survey response — day 21, dose 3MedDRA: Arthralgia, Hypoaesthesia, Muscle tightness, Paraesthesia — Feeling: FairFree text: Continued numbness/tingling to toes and fingers. Continued joint pain and muscle tightness, generalized.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-22
- 2021-10-29
- 2021-11-05
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2021-12-24
Survey response — 3 months, dose 3MedDRA: COVID-19 — Feeling: Poor · 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 visitFree text: Covid infectionMedDRA releases: 2024-11 · check-in free text available
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2021-12-24
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-27
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2022-03-11
Dose 4 — Moderna
- 2022-03-11
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2022-03-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-03-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-03-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2022-03-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-03-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
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2022-03-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2022-03-18
Health check-in — day 7, dose 4Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-03-25
- 2022-04-01
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2022-04-08
Survey response — day 28, dose 4MedDRA: Hypoaesthesia, Neuralgia, Neuropathy peripheral, Pre-existing disease, Vaccine positive rechallenge — Feeling: FairFree text: Neuropathy symptoms worsened in past two weeks; numbness in fingers and toes with some nerve pain. I also had this after my second shot.MedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Survey response — day 35, dose 4MedDRA: Chest discomfort, Condition aggravated, Cough, Oropharyngeal pain, Pre-existing disease — Feeling: FairFree text: New: Sore throat, cough, chest tightness. Continued exacerbation of small fiber neuropathy since booster.MedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Survey response — day 42, dose 4MedDRA: Chest discomfort, Chills, Cough, Headache, Neuropathy peripheral, Oropharyngeal pain, Pyrexia, Rhinorrhoea, Viral infection — Feeling: Fair · Be unable to work or attend schoolFree text: 1) Low grade fever, cough, runny nose, chest disco, sore throat, headache, chills. Likely viral illness. 2) Continue to have increased neuropathy since vaccination.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-10
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2022-09-09
Survey response — 6 months, dose 4MedDRA: Chills, Cough, Fatigue, Headache, Oropharyngeal pain, Pain, Respiratory tract congestion, Syncope — Feeling: Poor · 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 visitFree text: Last week, headache with unwitnessed syncope. This week, cough, sore throat, fatigue, headache, body aches, congestion, chills.MedDRA releases: 2024-11 · check-in free text available
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2022-09-09
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-12
- 2022-09-12
- 2022-09-12
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2022-09-16
Dose 5 — Pfizer-BioNTech
- 2022-09-16
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2022-09-17
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tirednessAdult check-in
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2022-09-18
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-23
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2022-09-30
Survey response — day 14, dose 5MedDRA: Arthralgia, Joint stiffness, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Worsening joint pain, stiffness over past week. History of connective tissue disease. This has happened with other COVID shots.MedDRA releases: 2024-11 · check-in free text available
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2022-10-07
Survey response — day 21, dose 5MedDRA: Arthritis, Joint stiffness, Joint swelling, Joint warmth, 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 consultationFree text: Continued and worsening flare up of inflammatory arthritis. Swollen, stiff, warm joints.MedDRA releases: 2024-11 · check-in free text available
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2022-10-07
Report sent to call center — day 21, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-10
- 2022-10-10
- 2022-10-10
- 2022-10-10
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2022-10-14
Survey response — day 28, dose 5MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: Continue on Prednisone taper for inflammatory arthritis flare up post Covid vaccine .MedDRA releases: 2024-11 · check-in free text available
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2022-10-23
Survey response — day 35, dose 5MedDRA: Arthritis, COVID-19, Chest discomfort, Cough, Fatigue, Oropharyngeal pain, Pain, Pre-existing disease, Respiratory tract congestion — Feeling: Poor · 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 consultationFree text: Cough, congestion, fatigue, sore throat, body aches, chest tightness; ended up Covid positive. Had been on Prednisone for two weeks after arthritis flare w Covid vaccine. Currently on Molnupiravir.MedDRA releases: 2024-11 · check-in free text available
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2022-10-23
Report sent to call center — day 35, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-26
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2022-10-28
Survey response — day 42, dose 5MedDRA: Cough, Dyspnoea, Fatigue, Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cough, shortness of breath, body aches, fatigue, sore throat, congestion. Tested positive for Covid 10/19/22.MedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Report sent to call center — day 42, dose 5Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-01
- 2022-11-01
- 2022-11-01
- 2022-11-01
- 2022-11-01
- 2022-11-01
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-09-24 | Moderna | No |
| 4 | 2022-03-11 | Moderna | No |
| 5 | 2022-09-16 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-09 | priority 2/3 | |
| 2021-01-10 | priority 2/3 | |
| 2021-03-19 | Successful | Reported to VAERS during previous contact from GDIT |
| 2021-09-30 | Unsuccessful | |
| 2021-12-24 | Unsuccessful | |
| 2022-09-09 | Unsuccessful | |
| 2022-10-07 | Unsuccessful | |
| 2022-10-23 | Unsuccessful | |
| 2022-10-28 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: Sore throat, chills.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I am on continuous birth control and never have a period, but with both this vaccine admin and the first, one month ago, I had 2 days of pelvic cramping and break-through menstrual bleeding.
Systemic reaction (other): Since Sat 2/6, I have continued to have breakthrough menstrual bleeding that is not normal for me. I am on continuous birth control and do not have any bleeding normally. I did experience spotting and slight cramping after 1st shot one month ago, but this is far heavier and longer in duration.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Abnormal breakthrough menstrual bleeding continues.
Systemic reaction (other): Abnormal breakthrough menstrual bleeding continues.
Release 4 — day 7, dose 2
Systemic reaction (other): Abnormal breakthrough menstrual bleeding continues.
Release 5 — day 35, dose 2
Symptoms: Peripheral neuropathy, bilateral feet
Release 5 — day 42, dose 2
Symptoms: Peripheral neuropathy bilateral toes, started 2+ weeks after vaccine. Never had these symptoms before. I do have RA and am treated for this.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Numbness to tips of fingers, toes and tongue. I did develop small fiber neuropathy after my 2nd vaccine, which did primarily subside after 6 months.
Release 10 — day 14, dose 3
Symptoms: Worsening numbness in toes and fingers related to small fiber neuropathy, which I had after 2nd shot and has now restarted with 3rd shot.
Release 10 — day 21, dose 3
Symptoms: Continued numbness/tingling to toes and fingers. Continued joint pain and muscle tightness, generalized.
Release 10 — 3 months, dose 3
Symptoms: Covid infection
Release 11 — day 28, dose 4
Symptoms: Neuropathy symptoms worsened in past two weeks; numbness in fingers and toes with some nerve pain. I also had this after my second shot.
Release 11 — day 35, dose 4
Symptoms: New: Sore throat, cough, chest tightness. Continued exacerbation of small fiber neuropathy since booster.
Release 11 — day 42, dose 4
Symptoms: 1) Low grade fever, cough, runny nose, chest disco, sore throat, headache, chills. Likely viral illness. 2) Continue to have increased neuropathy since vaccination.
Release 12 — 6 months, dose 4
Symptoms: Last week, headache with unwitnessed syncope. This week, cough, sore throat, fatigue, headache, body aches, congestion, chills.
Release 12 — day 14, dose 5
Symptoms: Worsening joint pain, stiffness over past week. History of connective tissue disease. This has happened with other COVID shots.
Release 12 — day 21, dose 5
Symptoms: Continued and worsening flare up of inflammatory arthritis. Swollen, stiff, warm joints.
Release 12 — day 28, dose 5
Symptoms: Continue on Prednisone taper for inflammatory arthritis flare up post Covid vaccine .
Release 12 — day 35, dose 5
Symptoms: Cough, congestion, fatigue, sore throat, body aches, chest tightness; ended up Covid positive. Had been on Prednisone for two weeks after arthritis flare w Covid vaccine. Currently on Molnupiravir.
Release 12 — day 42, dose 5
Symptoms: Cough, shortness of breath, body aches, fatigue, sore throat, congestion. Tested positive for Covid 10/19/22.
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 | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Joint stiffness | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Joint warmth | · | · | ✓ |
| SD | Muscle tightness | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Small fibre neuropathy | · | · | ✓ |
| SD | Syncope | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Dysmenorrhoea | · | · | ✓ |
| SRO | Heavy menstrual bleeding | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Hypoaesthesia oral | · | · | ✓ |
| SRO | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Menstrual disorder | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Pelvic pain | ✓ | ✓ | ○ |
| SRO | Small fibre neuropathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release