222-63728-78028

2 vaccinations 15 coded responses 26 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 280 / NC
Registered: 2021-05-18

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-05-18
Registered in v-safe
2021-05-18
Dose 1 — Janssen/Johnson & Johnson
2021-05-18
Survey response — day 0, dose 1
MedDRA: Dizziness, Injection site bruising, Pain — Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Occasional throbbing on wrists, ankles, and shoulder blade. Bruise under armpit on injection site side not there before the shot. Dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Gait disturbance — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Stumbling, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Balance disorder, Vision blurred — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Blurred vision, loss of balance, weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Loss of personal independence in daily activities — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Weak, can't sustain normal activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-24
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Overall, feeling very weak.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 7, dose 1
MedDRA: Nausea — Feeling: Good

Free text: Since the shot, my sense of smell has become heightened. The smell of my own urine or being near a toilet causes a wave of nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-06-15
Survey response — day 28, single dose
MedDRA: Fatigue, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Soreness in arm (injection site), ovetall toxicity, and extreme fatigue returned for a few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Survey response — day 35, single dose
MedDRA: Asthenia, Fatigue, Myalgia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Extreme muscle pain, fatigue, and weakness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Survey response — day 42, single dose
MedDRA: Fatigue, Myalgia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Extreme fatigue and some toxicity, as well as intense muscle soreness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-17
Survey response — 3 months, dose 1
MedDRA: Diarrhoea, Dizziness, Fatigue, Myalgia, Unevaluable event, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea for multiple days. Fatigue. Muscle soreness. Slight toxicity. Slight dizziness. Slightly blurry vision.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-16
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-26
Dose 2 — Moderna
2021-12-26
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slight dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dry eye, Eye pain, Parosmia — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizzy & lightheaded. Eyeballs hurt & very dry. Extreme sense of smell.

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-01
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle tightness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Excruciating muscle tightness affecting entire limb, shoulder, blade, and neck

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-09
Survey response — day 14, dose 2
MedDRA: Asthenia, Decreased appetite, Dry skin, Epigastric discomfort, Rash, Skin burning sensation — Feeling: Fair

Free text: Rash that actually started 24 hours after Booster (forget to report). By rib cage, about 1 in. Burned for days, then felt very dry, and is calming down. Also, delicate stomach & felt weak ... not able to eat much for a week ... feel even-keeled now.

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Survey response — day 21, dose 2
MedDRA: Fatigue, Flatulence, Immediate post-injection reaction, Nausea, Unevaluable event — Feeling: Fair

Free text: Nausea and gaseousness for the past 10 days. Still have extreme fatigue and toxic feeling intermittently as occurred right after the Booster.

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2022-02-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-18	Janssen/Johnson & Johnson
2	2021-12-26	Moderna	No

Free text

Release 8 — day 0, dose 1

2021-05-18

Systemic reaction (other): Occasional throbbing on wrists, ankles, and shoulder blade. Bruise under armpit on injection site side not there before the shot. Dizziness.

Release 8 — days 1–6 daily, dose 1

2021-05-19

Systemic reaction (other): Stumbling, dizziness

2021-05-20

Systemic reaction (other): Blurred vision, loss of balance, weakness

2021-05-21

Systemic reaction (other): Weak, can't sustain normal activities

2021-05-24

Systemic reaction (other): Overall, feeling very weak.

Release 8 — day 7, dose 1

2021-05-27

Systemic reaction (other): Since the shot, my sense of smell has become heightened. The smell of my own urine or being near a toilet causes a wave of nausea.

Release 9 — day 28, single dose

2021-06-15

Symptoms: Soreness in arm (injection site), ovetall toxicity, and extreme fatigue returned for a few days.

Release 9 — day 35, single dose

2021-06-22

Symptoms: Extreme muscle pain, fatigue, and weakness.

Release 9 — day 42, single dose

2021-06-29

Symptoms: Extreme fatigue and some toxicity, as well as intense muscle soreness.

Release 9 — 3 months, dose 1

2021-08-17

Symptoms: Diarrhea for multiple days. Fatigue. Muscle soreness. Slight toxicity. Slight dizziness. Slightly blurry vision.

Release 10 — day 0, dose 2

2021-12-26

Systemic reaction (other): Slight dizziness

Release 10 — days 1–6 daily, dose 2

2021-12-27

Systemic reaction (other): Dizzy & lightheaded. Eyeballs hurt & very dry. Extreme sense of smell.

2022-01-01

Systemic reaction (other): Excruciating muscle tightness affecting entire limb, shoulder, blade, and neck

Release 10 — day 14, dose 2

2022-01-09

Symptoms: Rash that actually started 24 hours after Booster (forget to report). By rib cage, about 1 in. Burned for days, then felt very dry, and is calming down. Also, delicate stomach & felt weak ... not able to eat much for a week ... feel even-keeled now. cut off by CDC

Release 10 — day 21, dose 2

2022-01-17

Symptoms: Nausea and gaseousness for the past 10 days. Still have extreme fatigue and toxic feeling intermittently as occurred right after the Booster.

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	Asthenia	✓	✓	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Dizziness	✓	·	✓
SD	Dry skin	·	·	✓
SD	Epigastric discomfort	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	·	·	✓
SD	Immediate post-injection reaction	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Rash	·	·	✓
SD	Skin burning sensation	·	·	✓
SD	Unevaluable event	✓	·	✓
SD	Vision blurred	✓	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry eye	·	·	✓
SRO	Eye pain	·	·	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Muscle tightness	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Parosmia	·	·	✓
SRO	Vision blurred	✓	✓	✓

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