4J3-33787-92360

2 vaccinations 11 coded responses 26 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 484 / MI
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Moderna
2021-03-31
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild dizziness

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

Free text: Felt light headed for an hour

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

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

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

Adult check-in
2021-04-28
Dose 2 — Moderna
2021-04-28
Health check-in — day 0, dose 2
Feeling: Fair · Headache

Adult check-in
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Neuralgia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Nerve pain, sore eyes, nearly passed out this morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Neuralgia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Moderate nerve pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Cold sweat, Dizziness, Feeling of body temperature change — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Feel like I am having trouble regulating my body temperature. Feel warm then feel cool and clammy. Also feel light headed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very loud tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Tinnitus — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Big increase in how loud my pre-existing tinnitus is

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches

Free text: Pre existing tinnitus is still very, very elevated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 7, dose 2
MedDRA: Tinnitus — Feeling: Fair · Headache, Joint pains

Free text: Elevated tinnitus continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-27
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I was diagnosed with fibromyalgia several years ago which sometimes makes my muscles and joints hurt. But, in the last five months my flares have become more frequent and the pain has increased in intensity.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — 12 months, dose 2
MedDRA: Osteoarthritis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: The osteoarthritis that I was diagnosed with prior to my Covid vaccinations seems to be flared up very frequently.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-28	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Mild dizziness

2021-04-02

Systemic reaction (other): Felt light headed for an hour

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Nerve pain, sore eyes, nearly passed out this morning

2021-04-30

Systemic reaction (other): Moderate nerve pain

2021-05-01

Systemic reaction (other): Feel like I am having trouble regulating my body temperature. Feel warm then feel cool and clammy. Also feel light headed.

2021-05-02

Systemic reaction (other): Very loud tinnitus

2021-05-03

Systemic reaction (other): Big increase in how loud my pre-existing tinnitus is

2021-05-04

Systemic reaction (other): Pre existing tinnitus is still very, very elevated

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): Elevated tinnitus continues

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: I was diagnosed with fibromyalgia several years ago which sometimes makes my muscles and joints hurt. But, in the last five months my flares have become more frequent and the pain has increased in intensity.

Release 11 — 12 months, dose 2

2022-04-28

Symptoms: The osteoarthritis that I was diagnosed with prior to my Covid vaccinations seems to be flared up very frequently.

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	Condition aggravated	·	·	✓
SD	Osteoarthritis	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Cold sweat	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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