3PN-11242-48442

2 vaccinations 11 coded responses 24 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 981 / WA
Registered: 2021-03-27

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

2021-03-26
Dose 1 — Moderna
2021-03-27
Registered in v-safe
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Slightly stuffy nose. Could be allergies, though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Bruise at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-08
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Headache, Pre-existing disease — Feeling: Fair

Free text: More recurring headaches than is typical

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue, Headache — Feeling: Fair

Free text: More random joint pain than is typical, more headaches than are typical, and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — day 28, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Jaw disorder, Pain in jaw, Temporomandibular joint syndrome, Yawning — Feeling: Fair

Free text: Still, the headaches. Still, the joint pain. Still, the fatigue. Then, five days ago, I yawned and my jaw popped (like it never has done so before) and afterwards, a bout of intense TMJ that still hurts as I write this, and has worsened the headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Survey response — 6 months, dose 2
MedDRA: Chills, Limb mass, Pyrexia, Rash, Rash erythematous, Tremor — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had an unusually strong immune response to a follow-up flu shot. High fever, shaking chills, lump & red rash on my arm, etc. Might be related to the Covid vaccinations or might not be, but thought you should know.

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — 12 months, dose 2
MedDRA: Lipoma, Plantar fascial fibromatosis — Feeling: Good

Free text: Plantar Fibroma; lipoma

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-23	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Slightly stuffy nose. Could be allergies, though.

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Bruise at injection site

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Brain fog

2021-04-27

Systemic reaction (other): Brain fog

2021-04-28

Systemic reaction (other): Brain fog

2021-04-29

Systemic reaction (other): Brain fog

Release 8 — day 14, dose 2

2021-05-08

Symptoms: More recurring headaches than is typical

Release 8 — day 21, dose 2

2021-05-15

Symptoms: More random joint pain than is typical, more headaches than are typical, and fatigue

Release 8 — day 28, dose 2

2021-05-23

Symptoms: Still, the headaches. Still, the joint pain. Still, the fatigue. Then, five days ago, I yawned and my jaw popped (like it never has done so before) and afterwards, a bout of intense TMJ that still hurts as I write this, and has worsened the headaches cut off by CDC

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: I had an unusually strong immune response to a follow-up flu shot. High fever, shaking chills, lump & red rash on my arm, etc. Might be related to the Covid vaccinations or might not be, but thought you should know.

Release 11 — 12 months, dose 2

2022-04-23

Symptoms: Plantar Fibroma; lipoma

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	Chills	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Jaw disorder	✓	✓	✓
SD	Limb mass	·	·	✓
SD	Lipoma	·	·	✓
SD	Pain in jaw	✓	✓	✓
SD	Plantar fascial fibromatosis	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Rash erythematous	·	·	✓
SD	Temporomandibular joint syndrome	✓	✓	✓
SD	Tremor	·	·	✓
SD	Yawning	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓

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