2XT-26429-12781

4 vaccinations 11 coded responses 23 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 365 / AL
Registered: 2021-03-22

Relationship: Self
Race: Multiracial
Ethnicity: N/A

Timeline

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Moderna
2021-04-19
Dose 2 — Moderna
2021-04-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I itch all over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Pollakiuria — Feeling: Poor · Site: Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have to pee ALOT.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Epistaxis — Feeling: Poor · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The last 2 mornings I have had a small bit of blood when I blew my nose. The rest of the day was fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: I itch all over, cetirizine stops the itch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Survey response — day 14, dose 2
MedDRA: Arthralgia, Feeling abnormal, Myalgia, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: I was feeling real bad 4-25-2021 then I smoked marijuana, and all my aches and pains eased up until I felt normal again. Sadly, I ran out yesterday, and I am starting to feel bad again, the joint and muscle pain is the worst.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Aching muscles, sore joints, very tired all the time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 28, dose 2
MedDRA: Arthralgia, Hypersomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: I sleep alot, 12 to 16 hours a day, and my joints hurt alot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-31
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Sinus pain — Feeling: Fair

Free text: My sinuses hurt, all of them. But I am not congested.

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Survey response — 6 months, dose 2
MedDRA: Rash — Feeling: Good

Free text: I have a periodic rash that appears, fades, and dissappears then after a few weeks, it does it again. It doesn't hurt or break the skin.

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Dose 3 — Janssen/Johnson & Johnson
Co-administered: Shingles
2022-04-04
Dose 4 — Moderna
Co-administered: Flu
2022-04-19
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-29
Survey response — day 21, dose 4
MedDRA: Blood pressure increased — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My blood pressure has went up to dangerous levels

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — day 21, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-02
Call successful
Completed over the phone
2022-05-04
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-11
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-04
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-04
Survey response — 12 months, dose 4
MedDRA: Hypertension — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna
3	2021-12-04	Janssen/Johnson & Johnson	Shingles
4	2022-04-04	Moderna	Flu

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): I itch all over

2021-04-23

Systemic reaction (other): I have to pee ALOT.

2021-04-24

Systemic reaction (other): The last 2 mornings I have had a small bit of blood when I blew my nose. The rest of the day was fine.

2021-04-25

Systemic reaction (other): I itch all over, cetirizine stops the itch.

Release 8 — day 14, dose 2

2021-05-03

Symptoms: I was feeling real bad 4-25-2021 then I smoked marijuana, and all my aches and pains eased up until I felt normal again. Sadly, I ran out yesterday, and I am starting to feel bad again, the joint and muscle pain is the worst.

Release 8 — day 21, dose 2

2021-05-10

Symptoms: Aching muscles, sore joints, very tired all the time.

Release 8 — day 28, dose 2

2021-05-19

Symptoms: I sleep alot, 12 to 16 hours a day, and my joints hurt alot.

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: My sinuses hurt, all of them. But I am not congested.

Release 10 — 6 months, dose 2

2021-10-18

Symptoms: I have a periodic rash that appears, fades, and dissappears then after a few weeks, it does it again. It doesn't hurt or break the skin.

Release 11 — day 21, dose 4

2022-04-29

Symptoms: My blood pressure has went up to dangerous levels

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	Blood pressure increased	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rash	·	·	✓
SD	Sinus pain	·	·	✓
SRO	Epistaxis	✓	✓	✓
SRO	Pollakiuria	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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