2JH-21413-32521

3 vaccinations 8 coded responses 33 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 972 / OR
Registered: 2021-04-06

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

Timeline

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

2021-04-01
Dose 1 — Moderna
2021-04-06
Registered in v-safe
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Headache, Abdominal pain

Adult check-in
2021-04-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 28, dose 1
MedDRA: Arthralgia, Headache, Joint swelling, Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Joint swelling and pain in vaccinated arm. Muscle pain in entire arm. Pain through whole body of the vaccinated arm. Headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 35, dose 1
MedDRA: Ageusia, Cough, Deafness, Dyspnoea, Ear pain, Fatigue, Nasopharyngitis, Oropharyngeal pain, Paranasal sinus discomfort, Pulmonary pain, SARS-CoV-2 test negative, Stomatitis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: I think it's a cold, I had a negative rapid covid test at onset of symptoms. Sore throat, sore mouth, sinus pressure, ear ache, temporary hearing loss, loss of smell and taste, sore lungs, chest cough, minor difficulty breathing, fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 42, dose 1
MedDRA: Fatigue — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: More severe fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — day 42, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-27
Dose 2 — Moderna
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-06-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-06-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Diarrhea

Adult check-in
2021-06-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-27
Dose 3 — Pfizer-BioNTech
2021-11-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 0, dose 3
Feeling: Fair · Fever · Chills, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-11-28
Survey response — days 1–6 daily, dose 3
MedDRA: Inflammation, Malaise, Neuralgia, Neurological symptom, Pain, Pain in extremity, Pollakiuria, Urine output decreased — Feeling: Poor · Site: Pain, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Frequent urination; small amounts 12 times in 4 hrs. And re-emergent pain and inflammation from my initial injection arm (right) that was badly affected for a month. I am in so much pain, add nerve/nuerological pain like when I had Covid

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — days 1–6 daily, dose 3
MedDRA: Arthritis, Condition aggravated, Lymphadenopathy, Mobility decreased, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Very swollen lymph nodes in armpit, underam, and neck. Unable to use arm. A lot of inflammation in joints rapidity both hands. I may have an inflammatory CRP issue that is affected by vaccines.

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-01
Survey response — days 1–6 daily, dose 3
MedDRA: Mood altered — Feeling: Fair · Site: Pain, Swelling, Itching · 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

Free text: Awful mood.

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-05
Health check-in — day 7, dose 3
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-12-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-25
Survey response — day 28, dose 3
MedDRA: Decreased appetite, Eye irritation, Fatigue, Hypopnoea, Nausea, Tongue discomfort, Tremor — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nausea, burning tongue, burning eyes, loss of appetite, shallow breathing, fatigue, shaking hands.

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-26
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-18
Call successful
Participant prefers to complete VAERS report online
2022-05-30
Survey response — 6 months, dose 3
MedDRA: Malaise — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Constantly sick.

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-01
Call 1 — Left Voicemail
2022-06-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-05-27	Moderna
3	2021-11-27	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 28, dose 1

2021-04-30

Symptoms: Joint swelling and pain in vaccinated arm. Muscle pain in entire arm. Pain through whole body of the vaccinated arm. Headaches.

Release 8 — day 35, dose 1

2021-05-06

Symptoms: I think it's a cold, I had a negative rapid covid test at onset of symptoms. Sore throat, sore mouth, sinus pressure, ear ache, temporary hearing loss, loss of smell and taste, sore lungs, chest cough, minor difficulty breathing, fatigue.

Release 8 — day 42, dose 1

2021-05-13

Symptoms: More severe fatigue

Release 10 — days 1–6 daily, dose 3

2021-11-28

Systemic reaction (other): Frequent urination; small amounts 12 times in 4 hrs. And re-emergent pain and inflammation from my initial injection arm (right) that was badly affected for a month. I am in so much pain, add nerve/nuerological pain like when I had Covid

2021-11-29

Systemic reaction (other): Very swollen lymph nodes in armpit, underam, and neck. Unable to use arm. A lot of inflammation in joints rapidity both hands. I may have an inflammatory CRP issue that is affected by vaccines.

2021-12-01

Systemic reaction (other): Awful mood.

Release 10 — day 28, dose 3

2021-12-25

Symptoms: Nausea, burning tongue, burning eyes, loss of appetite, shallow breathing, fatigue, shaking hands.

Release 11 — 6 months, dose 3

2022-05-30

Symptoms: Constantly sick.

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	Ageusia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Deafness	✓	✓	✓
SD	Decreased appetite	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Eye irritation	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypopnoea	·	·	✓
SD	Joint swelling	✓	✓	✓
SD	Malaise	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Pulmonary pain	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Stomatitis	✓	✓	✓
SD	Tongue discomfort	·	·	✓
SD	Tremor	·	·	✓
SRO	Arthritis	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Inflammation	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Malaise	·	·	✓
SRO	Mobility decreased	·	·	✓
SRO	Mood altered	·	·	✓
SRO	Neuralgia	·	·	✓
SRO	Neurological symptom	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Pollakiuria	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Urine output decreased	·	·	✓

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