2L2-17310-54114

3 vaccinations 6 coded responses 36 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 270 / NC
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Janssen/Johnson & Johnson
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 28, single dose
MedDRA: Arthralgia, Pain, Pain in extremity, Parosmia — Feeling: Good

Free text: Random and moderately severe arm pain that radiates from shoulder to elbow in my injection arm. Sudden onset of sporadic phantom smells (cilantro scent to be specific). I am unsure of the possible relatability but you asked so I shared.. Zero regrets

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-10
Survey response — 3 months, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Injection arm pain.. 4-5 inch radius from injection site. It happens randomly and without any known cause..??

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-11
Survey response — 6 months, dose 1
MedDRA: Muscular weakness, Pain in extremity — Feeling: Fair

Free text: I still have left arm (injection arm) pain and weakness.I have overall and intermittent leg weakness.

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Dose 2 — Moderna
2021-10-31
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-03
Dose 3 — Moderna
2022-05-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2022-05-10
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-17
Survey response — day 14, dose 3
MedDRA: Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Intermittent left arm (Vaccine arm) pain from shoulder to elbow. Sometimes this pain improves with movement and use but when it is painful it is a 7/10

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-07
Survey response — day 35, dose 3
MedDRA: Hypoaesthesia, Injection site hypoaesthesia, Injection site pain, Pain in extremity — Feeling: Fair

Free text: Left arm (injection arm) pain upper arm aches new issue numbness starts upper arm shoulder area and goes into hand, palm and fingers.

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Survey response — day 42, dose 3
MedDRA: Hypoaesthesia — Feeling: Fair

Free text: Arm and hand numbness in vaccination arm. Intermittent events, several times a day with no known or noticeable triggers.

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-11-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-05-03
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Janssen/Johnson & Johnson
2	2021-10-22	Moderna	No
3	2022-05-03	Moderna	No

Free text

Release 7 — day 28, single dose

2021-04-08

Symptoms: Random and moderately severe arm pain that radiates from shoulder to elbow in my injection arm. Sudden onset of sporadic phantom smells (cilantro scent to be specific). I am unsure of the possible relatability but you asked so I shared.. Zero regrets cut off by CDC

Release 9 — 3 months, dose 1

2021-06-10

Symptoms: Injection arm pain.. 4-5 inch radius from injection site. It happens randomly and without any known cause..??

Release 9 — 6 months, dose 1

2021-09-11

Symptoms: I still have left arm (injection arm) pain and weakness.I have overall and intermittent leg weakness.

Release 11 — day 14, dose 3

2022-05-17

Symptoms: Intermittent left arm (Vaccine arm) pain from shoulder to elbow. Sometimes this pain improves with movement and use but when it is painful it is a 7/10

Release 11 — day 35, dose 3

2022-06-07

Symptoms: Left arm (injection arm) pain upper arm aches new issue numbness starts upper arm shoulder area and goes into hand, palm and fingers.

Release 12 — day 42, dose 3

2022-06-14

Symptoms: Arm and hand numbness in vaccination arm. Intermittent events, several times a day with no known or noticeable triggers.

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	Arthralgia	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Injection site hypoaesthesia	·	·	✓
SD	Injection site pain	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Parosmia	✓	✓	✓

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