25Z-30952-05140

3 vaccinations 12 coded responses 30 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 362 / AL
Registered: 2021-06-08

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

2021-06-08
Registered in v-safe
2021-06-08
Dose 1 — Janssen/Johnson & Johnson
2021-06-08
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-06-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-06-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-11
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased — Feeling: Good · Fatigue or tiredness

Free text: My blood sugar levels have been over 200 since the day after vaccination. I had the same reaction to covid in February/March so I sort of expected this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased — Feeling: Good

Free text: My blood sugar levels continue to be above normal but I believe that will resolve itself in a few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose abnormal, Blood glucose decreased — Feeling: Good

Free text: My blood sugar levels are slowly returning to my normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased — Feeling: Good

Free text: My blood sugar levels continue to be higher than normal but they are coming down. The last 2 days have thankfully been under 200.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — day 7, dose 1
MedDRA: Blood glucose abnormal — Feeling: Good

Free text: My blood sugar levels are slowly moving back towards my normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-29
Survey response — day 21, single dose
MedDRA: Dyspnoea, Wheezing — Feeling: Good · Be unable to do your normal daily activities

Free text: More frequent wheezing and shortness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Survey response — day 28, single dose
MedDRA: Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: I had some swelling in my legs but I think it was due to dehydration and the excessive heat. Once I increased my water consumption, elevated my feet and stayed out of the heat for a couple days it cleared up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Survey response — day 35, single dose
MedDRA: Back pain, Peripheral swelling — Feeling: Good

Free text: I've continued to experience leg/feet swelling but it has improved slightly. I have experienced new lower/mid back pain as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-20
Survey response — day 42, single dose
MedDRA: Dizziness, Peripheral swelling, Tremor — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness, shaking and occasionally lightheaded-ness. The swelling in my feet/legs has cleared with increased water consumption.

MedDRA releases: 2024-11 · check-in free text available
2021-09-12
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-11-17
Dose 2 — Moderna
Co-administered: Flu
2021-12-07
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-05-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-10-06
Dose 3 — Moderna
2022-10-17
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-10-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-10-27
Survey response — day 21, dose 3
MedDRA: Pyrexia — Feeling: Good

Free text: I've had a fever multiple times in the past week but feel fine.

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Survey response — day 28, dose 3
MedDRA: Blood glucose increased, Exposure to SARS-CoV-2, Pyrexia — Feeling: Good

Free text: Increased blood sugar levels, recent covid exposure, low grade fevers

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Survey response — day 35, dose 3
MedDRA: Blood glucose increased, Exposure to SARS-CoV-2, Insurance issue, Pyrexia — Feeling: Fair

Free text: Fevers, increased blood sugar levels off and on for over a week now. Exposed to covid 2 weeks ago but currently uninsured so I haven't seen a doctor.

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2023-01-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-04-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-08	Janssen/Johnson & Johnson
2	2021-11-17	Moderna	Flu
3	2022-10-06	Moderna	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-11

Systemic reaction (other): My blood sugar levels have been over 200 since the day after vaccination. I had the same reaction to covid in February/March so I sort of expected this.

2021-06-12

Systemic reaction (other): My blood sugar levels continue to be above normal but I believe that will resolve itself in a few days.

2021-06-13

Systemic reaction (other): My blood sugar levels are slowly returning to my normal

2021-06-14

Systemic reaction (other): My blood sugar levels continue to be higher than normal but they are coming down. The last 2 days have thankfully been under 200.

Release 9 — day 7, dose 1

2021-06-16

Systemic reaction (other): My blood sugar levels are slowly moving back towards my normal.

Release 9 — day 21, single dose

2021-06-29

Symptoms: More frequent wheezing and shortness of breath.

Release 9 — day 28, single dose

2021-07-06

Symptoms: I had some swelling in my legs but I think it was due to dehydration and the excessive heat. Once I increased my water consumption, elevated my feet and stayed out of the heat for a couple days it cleared up.

Release 9 — day 35, single dose

2021-07-13

Symptoms: I've continued to experience leg/feet swelling but it has improved slightly. I have experienced new lower/mid back pain as well.

Release 9 — day 42, single dose

2021-07-20

Symptoms: Dizziness, shaking and occasionally lightheaded-ness. The swelling in my feet/legs has cleared with increased water consumption.

Release 12 — day 21, dose 3

2022-10-27

Symptoms: I've had a fever multiple times in the past week but feel fine.

Release 12 — day 28, dose 3

2022-11-03

Symptoms: Increased blood sugar levels, recent covid exposure, low grade fevers

Release 12 — day 35, dose 3

2022-11-10

Symptoms: Fevers, increased blood sugar levels off and on for over a week now. Exposed to covid 2 weeks ago but currently uninsured so I haven't seen a doctor.

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	Back pain	✓	✓	✓
SD	Blood glucose increased	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Insurance issue	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Tremor	·	·	✓
SD	Wheezing	✓	✓	✓
SRO	Blood glucose abnormal	✓	✓	✓
SRO	Blood glucose decreased	✓	✓	○
SRO	Blood glucose increased	✓	✓	✓

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