4B9-37044-47169

4 vaccinations 10 coded responses 27 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 051 / VT
Registered: 2021-03-20

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

2021-03-18
Dose 1 — Janssen/Johnson & Johnson
2021-03-20
Registered in v-safe
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: Neck ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Neck ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, single dose
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 42, single dose
Feeling: Fair

Adult check-in
2021-06-17
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-16
Survey response — 6 months, dose 1
MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test — Feeling: Poor · Be unable to work or attend school

Free text: I got tested for covid today. Cold like symptoms. Sore throat, runny nose, cough. Waiting on the results

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Dose 2 — Moderna
2021-11-01
Dose 3 — Moderna
2021-11-01
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Survey response — day 21, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Be unable to do your normal daily activities

Free text: Very swollen lymph nodes in armpit and back of shoulder. Very painful.

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — day 28, dose 3
MedDRA: Arthralgia, Axillary pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still having trouble with arm/armpit/ shoulder pain.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — day 35, dose 3
MedDRA: Arthralgia, Axillary pain, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Strange pain in armpit, shoulder and neck. Seems to be getting better

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-10-07
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-10
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Chills, Headache

Free text: Armpit pain (this happened with my last booster as well)

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-14
Survey response — day 7, dose 4
MedDRA: Axillary pain — Feeling: Fair · Site: Pain

Free text: Armpit pain

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Survey response — day 14, dose 4
MedDRA: Arthralgia — Feeling: Fair

Free text: Shoulder joint pain on injection arm

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — day 21, dose 4
MedDRA: Arthralgia — Feeling: Fair

Free text: Painful hand and finger joints more so on vaccination arm side

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Janssen/Johnson & Johnson
2	2021-10-29	Moderna	No
3	2021-11-01	Moderna	No
4	2022-10-07	Pfizer-BioNTech	Flu

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Neck ache

2021-03-21

Systemic reaction (other): Neck ache

Release 9 — 6 months, dose 1

2021-09-16

Symptoms: I got tested for covid today. Cold like symptoms. Sore throat, runny nose, cough. Waiting on the results

Release 10 — day 21, dose 3

2021-11-22

Symptoms: Very swollen lymph nodes in armpit and back of shoulder. Very painful.

Release 10 — day 28, dose 3

2021-11-29

Symptoms: Still having trouble with arm/armpit/ shoulder pain.

Release 10 — day 35, dose 3

2021-12-08

Symptoms: Strange pain in armpit, shoulder and neck. Seems to be getting better

Release 12 — days 1–6 daily, dose 4

2022-10-10

Systemic reaction (other): Armpit pain (this happened with my last booster as well)

Release 12 — day 7, dose 4

2022-10-14

Systemic reaction (other): Armpit pain

Release 12 — day 14, dose 4

2022-10-21

Symptoms: Shoulder joint pain on injection arm

Release 12 — day 21, dose 4

2022-10-28

Symptoms: Painful hand and finger joints more so on vaccination arm side

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	Axillary pain	·	·	✓
SD	Cough	·	·	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓

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