2A4-31778-47025

4 vaccinations 8 coded responses 22 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 767 / TX
Registered: 2021-01-21

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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-21
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Survey response — day 14, dose 1
MedDRA: Bone pain, Fatigue, Hypersomnia, Pain in extremity, Somnolence — Feeling: Good

Free text: Elbow of the arm the shot was given would ache bone deep. For the last 6 days Ive been sleeping 12 hours a day due to fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 28, dose 1
MedDRA: Axillary pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cannot move right arm without excruciating pain below armpit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Dose 2 — Moderna
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Influenza like illness, Self-medication — Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: 24 hours after I got the shot, I experienced flu like symptoms. I took Tylenol flu caplets and felt 100% better 12 hours later.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Survey response — day 21, dose 2
MedDRA: Chills, Fatigue, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Last Sunday thru Tuesday I was fatigued, had body aches and chills. NO temperature.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-28
Survey response — day 35, dose 2
MedDRA: Cough, Fatigue, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Coughing, sneezing and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-21
Survey response — 6 months, dose 2
MedDRA: Cough, Glossodynia, Oropharyngeal pain, Tongue disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Large painful bumps on back of tongue. Cough and sore throat.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-20
Dose 3 — Pfizer-BioNTech
2022-02-22
Survey response — 12 months, dose 2
MedDRA: Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Had both Moderna vaccines in left arm had Pfizer booster in right arm. My right arm muscles are very sore and painful still, 3 months after the booster.

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Survey response — 3 months, dose 3
MedDRA: Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Right arm muscles are still sore 3 months after vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-07-07
Dose 4 — Pfizer-BioNTech
2022-11-22
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-20	Moderna
3	2021-11-20	Pfizer-BioNTech	No
4	2022-07-07	Pfizer-BioNTech	No

Free text

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Elbow of the arm the shot was given would ache bone deep. For the last 6 days Ive been sleeping 12 hours a day due to fatigue.

Release 4 — day 28, dose 1

2021-02-18

Symptoms: Cannot move right arm without excruciating pain below armpit.

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): 24 hours after I got the shot, I experienced flu like symptoms. I took Tylenol flu caplets and felt 100% better 12 hours later.

Release 5 — day 21, dose 2

2021-03-13

Symptoms: Last Sunday thru Tuesday I was fatigued, had body aches and chills. NO temperature.

Release 6 — day 35, dose 2

2021-03-28

Symptoms: Coughing, sneezing and fatigue.

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: Large painful bumps on back of tongue. Cough and sore throat.

Release 11 — 3 months, dose 3

2022-02-22

Symptoms: Right arm muscles are still sore 3 months after vaccine.

Release 11 — 12 months, dose 2

2022-02-22

Symptoms: Had both Moderna vaccines in left arm had Pfizer booster in right arm. My right arm muscles are very sore and painful still, 3 months 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	Axillary pain	✓	✓	✓
SD	Bone pain	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Glossodynia	✓	·	✓
SD	Hypersomnia	·	·	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	○
SD	Sneezing	✓	✓	✓
SD	Somnolence	✓	✓	○
SD	Tongue disorder	✓	·	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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