2J7-72256-64462

5 vaccinations 20 coded responses 62 check-ins 19 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 947 / CA
Registered: 2021-02-07

Relationship: Self
Race: N/A
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

2021-02-05
Dose 1 — Moderna
2021-02-07
Registered in v-safe
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: After the shot on on 2/5/21 I felt a bit lightheaded.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Musculoskeletal discomfort, Neck pain, Pre-existing disease — Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My neck became sore the day after the injection but I assumed it was from how I slept. However even with all the things that usually will leave it, Ive experienced discomfort in my neck every day since injection Also attributed fatigue to anti cancer meds but might be worsened after injection. Hard to discern.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal discomfort — Feeling: Good · Muscle or body aches

Free text: Neck discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-19
Survey response — day 14, dose 1
MedDRA: Erythema, Peripheral swelling, Pruritus, Skin warm — Feeling: Good

Free text: On 2/13 (day8) after vaccine, the area of my arm around injection became hot & newly swollen and red and a day letter began to itch. The swelling & heat have since gone down a lot but the area is still a bit warm and itchy. Weird timing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Survey response — day 0, dose 2
MedDRA: Dizziness, Fatigue, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lightheadedness began within the 1st hour. Started feeling tired within 3 hrs. Quite fatigued now( 5 hrs post-injection).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Aphthous ulcer, Limb discomfort, Neck pain, Oropharyngeal pain, Pain — Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Neck has shooting pains on side where vaccinated. Slightly sore throat & worse canker sore on same side. Discomfort down whole arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Myalgia — Feeling: Good · Site: Pain, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: The chills were last night a couple of hours after filling out yesterdays form. No chills today and muscle aches better but not gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: A bit tired and slightly achy but no where near what I felt like the first 3 days. Were I to do the first 3 days surveys again, Id put fair for 1st 3 days. Because it was all easier than chemo and radiation, I may have put good for those days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Nausea — Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Free text: Very Mild morning nausea and minimal tiredness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Aphthous ulcer — Feeling: Good

Free text: New/Increased Upper HmGI discomfort. Lots of canker sores in the last week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Dose 3 — Moderna
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work or attend school

Free text: A bit dizzy yesterday and once today.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-01
Survey response — day 28, dose 3
MedDRA: Cough, Fatigue — Feeling: Good

Free text: Slight cough, tired

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-04-25
Dose 4 — Moderna
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Ear pain, Fatigue, Lymphadenopathy, Neck pain, Pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Very swollen gland in neck on the side I got my shot. Pains in neck and same side ear.camer sore on same side. Fatigued

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Aphthous ulcer, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches

Free text: Swollen glands in neck. Canker sore

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2022-05-01
Survey response — days 1–6 daily, dose 4
MedDRA: Aphthous ulcer — Feeling: Good · Site: Itching

Free text: Canker sore

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-25
Survey response — day 28, dose 4
MedDRA: Chills, Fatigue, Headache, Lymphadenopathy, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue sore throat headache swollen glands fever chills body aches. Tested positive for Covid 5/23/22 with an at home kit.

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Survey response — day 35, dose 4
MedDRA: Body temperature decreased, Dyspnoea, Fatigue, Oxygen saturation decreased, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Erratic and Low pulse ox, after fever had very low temp. Finally normal pulse ox and temp and no sore throat more fatigue. Finished Paxllovid yesterday and started to feel a bit better and better today. but fatigued and a bit short of breath.

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-08
Dose 5 — Moderna
2022-10-08
Survey response — day 0, dose 5
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: a bit spacey

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-15
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-22
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-29
Survey response — day 21, dose 5
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Got a cold this week from husband.

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-19
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-07
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-08
Survey response — 6 months, dose 5
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-05	Moderna
3	2021-11-03	Moderna	No
4	2022-04-25	Moderna	No
5	2022-10-08	Moderna	No

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): After the shot on on 2/5/21 I felt a bit lightheaded.

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): My neck became sore the day after the injection but I assumed it was from how I slept. However even with all the things that usually will leave it, Ive experienced discomfort in my neck every day since injection Also attributed fatigue to anti cancer meds but might be worsened after injection. Hard to discern.

2021-02-11

Systemic reaction (other): Neck discomfort

Release 4 — day 14, dose 1

2021-02-19

Symptoms: On 2/13 (day8) after vaccine, the area of my arm around injection became hot & newly swollen and red and a day letter began to itch. The swelling & heat have since gone down a lot but the area is still a bit warm and itchy. Weird timing

Release 5 — day 0, dose 2

2021-03-05

Systemic reaction (other): Lightheadedness began within the 1st hour. Started feeling tired within 3 hrs. Quite fatigued now( 5 hrs post-injection).

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Neck has shooting pains on side where vaccinated. Slightly sore throat & worse canker sore on same side. Discomfort down whole arm.

2021-03-07

Systemic reaction (other): The chills were last night a couple of hours after filling out yesterdays form. No chills today and muscle aches better but not gone.

2021-03-10

Systemic reaction (other): A bit tired and slightly achy but no where near what I felt like the first 3 days. Were I to do the first 3 days surveys again, Id put fair for 1st 3 days. Because it was all easier than chemo and radiation, I may have put good for those days.

2021-03-11

Systemic reaction (other): Very Mild morning nausea and minimal tiredness.

Release 7 — day 35, dose 2

2021-04-09

Symptoms: New/Increased Upper HmGI discomfort. Lots of canker sores in the last week.

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): A bit dizzy yesterday and once today.

Release 10 — day 28, dose 3

2021-12-01

Symptoms: Slight cough, tired

Release 11 — days 1–6 daily, dose 4

2022-04-27

Systemic reaction (other): Very swollen gland in neck on the side I got my shot. Pains in neck and same side ear.camer sore on same side. Fatigued

2022-04-28

Systemic reaction (other): Swollen glands in neck. Canker sore

2022-05-01

Systemic reaction (other): Canker sore

Release 11 — day 28, dose 4

2022-05-25

Symptoms: Fatigue sore throat headache swollen glands fever chills body aches. Tested positive for Covid 5/23/22 with an at home kit.

Release 11 — day 35, dose 4

2022-05-30

Symptoms: Erratic and Low pulse ox, after fever had very low temp. Finally normal pulse ox and temp and no sore throat more fatigue. Finished Paxllovid yesterday and started to feel a bit better and better today. but fatigued and a bit short of breath.

Release 12 — day 0, dose 5

2022-10-08

Systemic reaction (other): a bit spacey

Release 12 — day 21, dose 5

2022-10-29

Symptoms: Got a cold this week from husband.

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	Abdominal discomfort	✓	✓	✓
SD	Aphthous ulcer	✓	✓	✓
SD	Body temperature decreased	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Oxygen saturation decreased	·	·	✓
SD	Pain	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Skin warm	✓	✓	✓
SRO	Aphthous ulcer	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	·	·	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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