3FQ-65534-46479

3 vaccinations 24 coded responses 43 check-ins 24 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 900 / CA
Registered: 2021-04-05

Relationship: Self
Race: White
Ethnicity: 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
Registered in v-safe
2021-04-05
Dose 1 — Janssen/Johnson & Johnson
2021-04-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Tremor — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Shakes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms, Musculoskeletal stiffness, Pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Muscle spasms, stiffness, random shooting pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · 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
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-04-26
Survey response — day 21, single dose
MedDRA: Injection site pain, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle spasms and soreness in the area of the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 35, single dose
MedDRA: Dizziness, Joint swelling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Swelling in ankles, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-10-06
Survey response — 6 months, dose 1
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Head cold

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Dose 2 — Moderna
2022-01-03
Survey response — day 0, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Itch

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lacrimation increased — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, 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

Free text: Watery eyes

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Shooting pains in legs

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Pain, Swelling, Itching · 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 or attend school, Be unable to do your normal daily activities

Free text: Rash is drying out slowly

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-08
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ringing in ears

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Redness at the injection site spreading over an area of 3 inches

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Survey response — day 7, dose 2
MedDRA: Immunisation reaction, Vaccination site erythema — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Big red spot on vaccine shot (covid arm)

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2022-01-26
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Fatigue and headaches

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Survey response — day 28, dose 2
MedDRA: Ear pruritus, Fatigue, Headache, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, headache, scratchy ears and throat

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-02-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-04-04
Survey response — 3 months, dose 2
MedDRA: Fatigue, Injection site pruritus, Pyrexia — Feeling: Fair

Free text: Random fever, fatigue and itch in the area of the booster a long time after receiving it.

MedDRA releases: 2024-11 · check-in free text available
2022-07-04
Survey response — 6 months, dose 2
MedDRA: Injection site pruritus — Feeling: Fair

Free text: Occasionally itch on the are where I received the moderna booster.

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Dose 3 — Moderna
Co-administered: Flu
2022-10-26
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Muscle spasms in legs

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swelling at injection site

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Fever

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Nervousness — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feel shaky

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-09
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-11-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-11-25
Survey response — day 28, dose 3
MedDRA: Cough, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, cough

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Survey response — day 35, dose 3
MedDRA: Cough, Mobility decreased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had a very bad non-stop cough last Sunday and had to stay in bed two days

MedDRA releases: 2024-11 · check-in free text available
2022-12-07
Survey response — day 42, dose 3
MedDRA: Abdominal pain upper, Back pain, Chest discomfort, Cough, Musculoskeletal chest pain — Feeling: Fair · Be unable to work or attend school

Free text: Coughing, tightness in chest, sore rib cage, stomach and back muscles for two days.

MedDRA releases: 2024-11 · check-in free text available
2023-01-27
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Janssen/Johnson & Johnson
2	2022-01-03	Moderna	No
3	2022-10-26	Moderna	Flu

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Shakes

2021-04-08

Systemic reaction (other): Muscle spasms, stiffness, random shooting pain

Release 8 — day 21, single dose

2021-04-26

Symptoms: Muscle spasms and soreness in the area of the shot

Release 8 — day 35, single dose

2021-05-11

Symptoms: Swelling in ankles, dizziness

Release 10 — 6 months, dose 1

2021-10-06

Symptoms: Head cold

Release 10 — day 0, dose 2

2022-01-03

Systemic reaction (other): Itch

Release 10 — days 1–6 daily, dose 2

2022-01-04

Systemic reaction (other): Watery eyes

2022-01-05

Systemic reaction (other): Shooting pains in legs

2022-01-06

Systemic reaction (other): Rash is drying out slowly

2022-01-08

Systemic reaction (other): Ringing in ears

2022-01-09

Systemic reaction (other): Redness at the injection site spreading over an area of 3 inches

Release 10 — day 7, dose 2

2022-01-10

Systemic reaction (other): Big red spot on vaccine shot (covid arm)

Release 11 — day 21, dose 2

2022-01-26

Symptoms: Fatigue and headaches

Release 11 — day 28, dose 2

2022-01-31

Symptoms: Fatigue, headache, scratchy ears and throat

Release 11 — 3 months, dose 2

2022-04-04

Symptoms: Random fever, fatigue and itch in the area of the booster a long time after receiving it.

Release 12 — 6 months, dose 2

2022-07-04

Symptoms: Occasionally itch on the are where I received the moderna booster.

Release 12 — days 1–6 daily, dose 3

2022-10-27

Systemic reaction (other): Muscle spasms in legs

2022-10-28

Systemic reaction (other): Swelling at injection site

2022-10-29

Systemic reaction (other): Fever

2022-10-31

Systemic reaction (other): Feel shaky

2022-11-01

Systemic reaction (other): Dizzy

Release 12 — day 28, dose 3

2022-11-25

Symptoms: Headaches, cough

Release 12 — day 35, dose 3

2022-12-02

Symptoms: Had a very bad non-stop cough last Sunday and had to stay in bed two days

Release 12 — day 42, dose 3

2022-12-07

Symptoms: Coughing, tightness in chest, sore rib cage, stomach and back muscles for two days.

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 pain upper	·	·	✓
SD	Back pain	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Ear pruritus	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	·	·	✓
SD	Joint swelling	✓	✓	✓
SD	Mobility decreased	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Musculoskeletal chest pain	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pyrexia	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Immunisation reaction	·	·	✓
SRO	Injection site erythema	·	·	✓
SRO	Injection site swelling	·	·	✓
SRO	Lacrimation increased	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Nervousness	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Rash	·	·	✓
SRO	Tinnitus	·	·	✓
SRO	Tremor	✓	✓	✓
SRO	Vaccination site erythema	·	·	✓

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