2T6-18379-88703

4 vaccinations 11 coded responses 45 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 070 / NJ
Registered: 2021-04-12

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

2021-04-05
Dose 1 — Moderna
2021-04-12
Registered in v-safe
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-04-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-03
Dose 2 — Moderna
2021-05-03
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Eye contusion — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Free text: Two black eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Eye contusion — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Eyes are still black but beginning to clear up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Eye contusion — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Still have Black eyes but they are getting better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-10
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 21, dose 2
MedDRA: Arthralgia, Bone pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Hip bone and tailbone continue to ache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-07
Survey response — day 35, dose 2
MedDRA: Arthralgia, Back pain, Coccydynia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Aching shoulder and hip joints and aching tailbone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-02
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-01
Survey response — 6 months, dose 2
MedDRA: Bone pain — Feeling: Good

Free text: Pain in the bone of the arm where I had the injections.

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Dose 3 — Moderna
2022-04-01
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-04-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-05
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swollen armpit of arm where I got the shot

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches

Adult check-in
2022-04-08
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-04-15
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-04-22
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-04-29
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-05-06
Survey response — day 35, dose 3
MedDRA: Diarrhoea, Nausea — Feeling: Poor

Free text: Diarrhea and nausea

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-07-02
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Asthma, Bone pain, Pain, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Increase in asthma. My bones ache and my knee, hip and shoulder joints ache when I walk.

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-02-23
Dose 4 — Moderna
2023-02-23
Health check-in — day 0, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-02-24
Survey response — days 1–6 daily, dose 4
MedDRA: Eye pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-02-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2023-02-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches

Adult check-in
2023-03-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Headache, Muscle or body aches

Adult check-in
2023-03-04
Health check-in — day 7, dose 4
Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches

Adult check-in
2023-03-09
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2023-03-16
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2023-03-23
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2023-03-30
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2023-04-06
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-05-25
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-03	Moderna
3	2022-04-01	Moderna	No
4	2023-02-23	Moderna	No

Free text

Release 8 — day 0, dose 2

2021-05-03

Systemic reaction (other): None

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Two black eyes

2021-05-07

Systemic reaction (other): Eyes are still black but beginning to clear up.

2021-05-08

Systemic reaction (other): Still have Black eyes but they are getting better

Release 8 — day 21, dose 2

2021-05-24

Symptoms: Hip bone and tailbone continue to ache.

Release 8 — day 35, dose 2

2021-06-07

Symptoms: Aching shoulder and hip joints and aching tailbone.

Release 10 — 6 months, dose 2

2021-11-01

Symptoms: Pain in the bone of the arm where I had the injections.

Release 11 — days 1–6 daily, dose 3

2022-04-05

Systemic reaction (other): Swollen armpit of arm where I got the shot

Release 11 — day 35, dose 3

2022-05-06

Symptoms: Diarrhea and nausea

Release 12 — 3 months, dose 3

2022-07-02

Symptoms: Increase in asthma. My bones ache and my knee, hip and shoulder joints ache when I walk.

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	Asthma	·	·	✓
SD	Back pain	✓	✓	○
SD	Bone pain	✓	✓	✓
SD	Coccydynia	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Eye contusion	✓	✓	✓
SRO	Eye pain	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Oedema peripheral	·	·	✓

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