3S6-25067-57965

3 vaccinations 14 coded responses 33 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 808 / CO
Registered: 2021-01-30

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

2021-01-29
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Symptom recurrence — Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: On the first day three and a half hours after the vaccinations I experienced all of the usual side effects except I didn't vomit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Fair

Free text: Yesterday and today I actually experienced less pain in my joints, especially my knees. It was as if the vaccine gave me some temporary relief.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Therapeutic response unexpected — Feeling: Good

Free text: I feel phenomenal , Better than I have felt in a very long time .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety — Feeling: Fair

Free text: Since the day after I received the vaccine I've been experiencing anxiety every day throughout most of the entire day. I've never had that problem before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Survey response — day 14, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: I have a medium pitch kind of sound in my ears and it never goes away. It just started a few days ago and there is no longer silence, it's just that sound. I don't know exactly how to describe it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Immediate post-injection reaction — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Yesterday approximately an hour after I was vaccinated I felt as if I was medicated with a substance like codeine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Day 4 was the worst, but now I feel absolutely fine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Chills

Free text: Swollen lymph nodes in the morning and then it just went away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Fever · Chills, Joint pains, Diarrhea · Be unable to work

Free text: Brain fog, then it just went away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Even small amounts of carbohydrates raise my glucose extremely high and when that occurs I feel disoriented and extremely ill. So what I've discovered is now that I'm going above and beyond taking care of my diabetes I feel now Exceptionally well

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-29
Dose 3 — Pfizer-BioNTech
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event, Pre-existing disease — Feeling: Good

Free text: Diabetes, but I feel GREAT as always

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease, Therapeutic response unexpected — Feeling: Good

Free text: Oddly enough after the vaccine my standard everyday inflammation actually decreased

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Survey response — day 7, dose 3
MedDRA: Chest pain — Feeling: Poor · Muscle or body aches · Be unable to work or attend school

Free text: Moderate sharp chest pains oh, I've never had anything like this before

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — day 14, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend school

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna
3	2021-10-29	Pfizer-BioNTech	No

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): On the first day three and a half hours after the vaccinations I experienced all of the usual side effects except I didn't vomit

2021-01-31

Systemic reaction (other): Yesterday and today I actually experienced less pain in my joints, especially my knees. It was as if the vaccine gave me some temporary relief.

2021-02-01

Systemic reaction (other): I feel phenomenal , Better than I have felt in a very long time .

2021-02-03

Systemic reaction (other): Since the day after I received the vaccine I've been experiencing anxiety every day throughout most of the entire day. I've never had that problem before

Release 4 — day 14, dose 1

2021-02-12

Symptoms: I have a medium pitch kind of sound in my ears and it never goes away. It just started a few days ago and there is no longer silence, it's just that sound. I don't know exactly how to describe it

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Yesterday approximately an hour after I was vaccinated I felt as if I was medicated with a substance like codeine

2021-03-01

Systemic reaction (other): Day 4 was the worst, but now I feel absolutely fine

2021-03-02

Systemic reaction (other): Swollen lymph nodes in the morning and then it just went away

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Brain fog, then it just went away

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Even small amounts of carbohydrates raise my glucose extremely high and when that occurs I feel disoriented and extremely ill. So what I've discovered is now that I'm going above and beyond taking care of my diabetes I feel now Exceptionally well

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Diabetes, but I feel GREAT as always

2021-11-02

Systemic reaction (other): Oddly enough after the vaccine my standard everyday inflammation actually decreased

Release 10 — day 7, dose 3

2021-11-05

Systemic reaction (other): Moderate sharp chest pains oh, I've never had anything like this before

Release 10 — day 14, dose 3

2021-11-12

Symptoms: Fatigue

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	Fatigue	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest pain	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Symptom recurrence	○	✓	○
SRO	Therapeutic response unexpected	✓	✓	✓

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