2HS-23692-22547

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 857 / AZ
Registered: 2021-02-15

Relationship: Self
Race: Black or African American
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

2021-02-15
Registered in v-safe
2021-02-15
Dose 1 — Moderna
2021-02-15
Survey response — day 0, dose 1
MedDRA: Facial pain, Pain, Pruritus — Feeling: Fair · Muscle or body aches

Free text: Left arm achy, pain left side of face same, itchy various places

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Discomfort — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Feel weighted down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Procedural site reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sharp zaps at prior surgery points both Tues amen Wed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 21, dose 1
MedDRA: Condition aggravated, Fibromyalgia, Pain, Pre-existing disease — Feeling: Fair

Free text: Pain like when I first got the vaccine. I have Fibromyalgia but the pain is more intense than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Dose 2 — Moderna
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dysgeusia, Dyspepsia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Metallic taste since injection, burning sensation in stomach and chest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-07
Survey response — day 21, dose 2
MedDRA: Cough, Insomnia — Feeling: Fair

Free text: Coughing a lot especially last night. I couldnt sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-19
Survey response — day 35, dose 2
MedDRA: Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Generalized wide spread pain. Has increasingly gotten worse since vaccine. I almost cant walk some days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-03-15
Survey response — 12 months, dose 2
MedDRA: Brain fog, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Brain fog, and fatigue continue to be an ongoing challenge

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-15	Moderna
2	2021-03-15	Moderna

Free text

Release 4 — day 0, dose 1

2021-02-15

Systemic reaction (other): Left arm achy, pain left side of face same, itchy various places

Release 4 — days 1–6 daily, dose 1

2021-02-16

Systemic reaction (other): Feel weighted down

2021-02-17

Systemic reaction (other): Sharp zaps at prior surgery points both Tues amen Wed

Release 5 — day 21, dose 1

2021-03-08

Symptoms: Pain like when I first got the vaccine. I have Fibromyalgia but the pain is more intense than usual.

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Metallic taste since injection, burning sensation in stomach and chest.

Release 7 — day 21, dose 2

2021-04-07

Symptoms: Coughing a lot especially last night. I couldnt sleep

Release 7 — day 35, dose 2

2021-04-19

Symptoms: Generalized wide spread pain. Has increasingly gotten worse since vaccine. I almost cant walk some days

Release 11 — 12 months, dose 2

2022-03-15

Symptoms: Brain fog, and fatigue continue to be an ongoing challenge

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	Brain fog	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Fibromyalgia	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Procedural site reaction	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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