ZX5-16796-88663

2 vaccinations 16 coded responses 26 check-ins 16 free-text entries 15 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 440 / OH
Registered: 2020-12-28

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2020-12-29
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · 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 · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-01-11
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-21
Survey response — day 21, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Migraines x2, pretty intense. Not sure if related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Dose 2 — Moderna
2021-01-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Teething, Telemedicine — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Sweating episodes, pain in teeth and mandible on right side · Healthcare visit (other): Called on to PCP office and spoke to staff 3x. Awaiting call back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling, Mobility decreased, Night sweats, Oedema peripheral, Peripheral swelling — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Swelling of right arm into armpit, scapula and elbow, can't flex past 80 degrees at elbow. Night sweats. · Healthcare visit (other): Phone call consultations with PCP's office (in person visit tomorrow) as well as urgent care.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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: Sweating intermittently

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Limb discomfort, Office visit, Swelling — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Ongoing swelling into right axillary area, limited arm movement elbow> shoulder · Healthcare visit (other): Outpatient MD visit 1/28. Right arm 10 lb lifting restriction due to swelling and limited ROM. Not cleared for work until at least 2/1. On a medical leave.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Joint range of motion decreased, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Ongoing medical leave until at least 2/1 due to right arm swelling and limited range of motion/ strength, on a medical 10 lb lifting restriction

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Ongoing medicallea e, outpatient appointment scheduled 2/1 with pcp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-01
Survey response — day 7, dose 2
MedDRA: Limb discomfort, Medical observation, Mobility decreased, Office visit — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to work, 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: Systemic reaction (other): Limited range of motion right arm · Healthcare visit (other): Ultarsound of right arm, orthopedic consult, PCP visit all today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — day 7, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-09
Survey response — day 14, dose 2
MedDRA: Impaired work ability, Mobility decreased, Oedema peripheral, Rhabdomyolysis — Feeling: Fair · Be unable to work, 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: Persistent time off of workand lifting restriction due to Right arm swelling and diagnosed with rhabdomyolysis of right deltoid following injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Survey response — day 21, dose 2
MedDRA: Induration, Muscle swelling, Pain in extremity, Swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased hardness/swelling in my right deltoid muscle with activity. Increased soreness in right arm and overall swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 28, dose 2
MedDRA: Headache, Oropharyngeal pain, Sinus pain — 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: Headaches, sinus pain and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Survey response — day 35, dose 2
MedDRA: Migraine, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Increase in mograines, frequency and intensity, since rececivinh the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 42, dose 2
MedDRA: Migraine — Feeling: Good · Be unable to work, 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: Increase in migraine severity and frequency

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-26
Survey response — 3 months, dose 2
MedDRA: Burning sensation, Headache, Migraine, Pain in extremity — Feeling: Good · Be unable to work, 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: Ongoing right arm burning and pain, increased headaches (including migraine) intensity and frequency

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-26
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-07-26
Survey response — 6 months, dose 2
MedDRA: Blood pressure increased, Migraine, Pre-existing disease — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Persistent elevated Blood pressure since 2nd vaccination 130s-140s/80s-90s, without any diet or excercise changes. Ongoing increase in migraine intensity, duation and frequency, requiring more medications.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
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)
2021-07-28
Call 1 — Left Voicemail
2021-08-04
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-01-25
Survey response — 12 months, dose 2
MedDRA: Blood pressure increased, Burning sensation, Limb discomfort, Menstruation irregular, Migraine, Sleep disorder — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Increased migraine headache intenity a d frequency, elevated BP and irregular menses since second dose of Moderna vaccine 1/25/21. Ongoing Right arm burning and discomfort, especially with skeeping on right side or increased weight/ activity.

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
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 · 1 call case(s)
2022-01-26
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna

Call center

15 call center cases

13 successful · 2 priority 2/3 (triaged and no follow up)

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Migraines x2, pretty intense. Not sure if related.

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Sweating episodes, pain in teeth and mandible on right side

Healthcare visit (other): Called on to PCP office and spoke to staff 3x. Awaiting call back.

2021-01-27

Systemic reaction (other): Swelling of right arm into armpit, scapula and elbow, can't flex past 80 degrees at elbow. Night sweats.

Healthcare visit (other): Phone call consultations with PCP's office (in person visit tomorrow) as well as urgent care.

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Sweating intermittently

2021-01-29

Systemic reaction (other): Ongoing swelling into right axillary area, limited arm movement elbow> shoulder

Healthcare visit (other): Outpatient MD visit 1/28. Right arm 10 lb lifting restriction due to swelling and limited ROM. Not cleared for work until at least 2/1. On a medical leave.

2021-01-30

Healthcare visit (other): Ongoing medical leave until at least 2/1 due to right arm swelling and limited range of motion/ strength, on a medical 10 lb lifting restriction

2021-01-31

Healthcare visit (other): Ongoing medicallea e, outpatient appointment scheduled 2/1 with pcp

Release 3 — day 7, dose 2

2021-02-01

Systemic reaction (other): Limited range of motion right arm

Healthcare visit (other): Ultarsound of right arm, orthopedic consult, PCP visit all today

Release 3 — day 14, dose 2

2021-02-09

Symptoms: Persistent time off of workand lifting restriction due to Right arm swelling and diagnosed with rhabdomyolysis of right deltoid following injection.

Release 4 — day 21, dose 2

2021-02-16

Symptoms: Increased hardness/swelling in my right deltoid muscle with activity. Increased soreness in right arm and overall swelling

Release 4 — day 28, dose 2

2021-02-22

Symptoms: Headaches, sinus pain and sore throat

Release 4 — day 35, dose 2

2021-03-01

Symptoms: Increase in mograines, frequency and intensity, since rececivinh the vaccine.

Release 5 — day 42, dose 2

2021-03-08

Symptoms: Increase in migraine severity and frequency

Release 8 — 3 months, dose 2

2021-04-26

Symptoms: Ongoing right arm burning and pain, increased headaches (including migraine) intensity and frequency

Release 9 — 6 months, dose 2

2021-07-26

Symptoms: Persistent elevated Blood pressure since 2nd vaccination 130s-140s/80s-90s, without any diet or excercise changes. Ongoing increase in migraine intensity, duation and frequency, requiring more medications.

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: Increased migraine headache intenity a d frequency, elevated BP and irregular menses since second dose of Moderna vaccine 1/25/21. Ongoing Right arm burning and discomfort, especially with skeeping on right side or increased weight/ activity.

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	Joint range of motion decreased	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Medical observation	✓	✓	○
HCVO	Office visit	✓	✓	✓
HCVO	Peripheral swelling	✓	✓	✓
HCVO	Swelling	✓	✓	✓
HCVO	Telemedicine	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Blood pressure increased	✓	·	✓
SD	Burning sensation	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Induration	✓	✓	✓
SD	Limb discomfort	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Migraine	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Muscle swelling	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhabdomyolysis	✓	✓	✓
SD	Sinus pain	✓	✓	✓
SD	Sleep disorder	·	·	✓
SD	Swelling	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Teething	✓	✓	✓

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