4BY-30905-26670

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 088 / NJ
Registered: 2021-01-31

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

2021-01-31
Registered in v-safe
2021-01-31
Dose 1 — Moderna
2021-01-31
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Rash, Sleep disorder — Feeling: Fair · Site: Pain, Redness, Swelling · Headache · Be unable to do your normal daily activities

Free text: Yesterday morning my arm finally felt mostly normal so I did laundry and played in the snow which made my arm hurt really bad last night like day 1. Hard to get to sleep comfortably. Noticed the huge arm rash/mark for the first time. Idk if its new or I only just noticed it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Myalgia, Nausea — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea

Free text: Muscle aches/pain is injection arm only. Mild nausea, light fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-07
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-14
Survey response — day 14, dose 1
MedDRA: Dizziness, Feeling abnormal, Headache, Pain in extremity, Photophobia, Rash — Feeling: Good

Free text: Just after week one, I had several days of brain fog. The day 2 arm rash, always faint, is easiest to see at night with the bathroom light. Some fatigue. Arm lightly sore at night, so I sleep on back generally. Mild headache, not sure if connec

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

Adult check-in
2021-02-28
Dose 2 — Moderna
2021-02-28
Survey response — day 0, dose 2
MedDRA: Injection site pain, Product administered at inappropriate site — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: My nurse said first shot was administered too low on arm, which might explain extended pain at the first injection site, which I still feel

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chills, Fatigue, Myalgia, Nausea, Pain, Pyrexia — Feeling: Good · Site: Pain

Free text: I felt a lot of these last night - chills, fever, joint and muscle aches, fatigue, nausea, after yesterdays check in, but they dissipated over night leaving a moderately sore today.

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: Fatigue — Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Symptoms stronger at night, tend to go away most of the day, except mild fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I rarely get migraines, so idk if todays headache was wholly or partially vaccine related, or due to a migraine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

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

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

Adult check-in
2021-03-29
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-04-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-31	Moderna
2	2021-02-28	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Yesterday morning my arm finally felt mostly normal so I did laundry and played in the snow which made my arm hurt really bad last night like day 1. Hard to get to sleep comfortably. Noticed the huge arm rash/mark for the first time. Idk if its new or I only just noticed it

2021-02-04

Systemic reaction (other): Muscle aches/pain is injection arm only. Mild nausea, light fatigue

Release 4 — day 14, dose 1

2021-02-14

Symptoms: Just after week one, I had several days of brain fog. The day 2 arm rash, always faint, is easiest to see at night with the bathroom light. Some fatigue. Arm lightly sore at night, so I sleep on back generally. Mild headache, not sure if connec

Release 4 — day 0, dose 2

2021-02-28

Systemic reaction (other): My nurse said first shot was administered too low on arm, which might explain extended pain at the first injection site, which I still feel

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): I felt a lot of these last night - chills, fever, joint and muscle aches, fatigue, nausea, after yesterdays check in, but they dissipated over night leaving a moderately sore today.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Symptoms stronger at night, tend to go away most of the day, except mild fatigue

2021-03-04

Systemic reaction (other): I rarely get migraines, so idk if todays headache was wholly or partially vaccine related, or due to a migraine.

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	Dizziness	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Photophobia	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Product administered at inappropriate site	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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