4QQ-27107-19451

4 vaccinations 9 coded responses 17 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 972 / OR
Registered: 2021-01-14

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

2021-01-05
Dose 1 — Moderna
2021-01-14
Registered in v-safe
2021-01-14
Survey response — day 7, dose 1
MedDRA: Fatigue, Joint range of motion decreased, Joint stiffness, Oedema peripheral, Pain — Feeling: Good · Site: Pain, Swelling

Free text: Moderate pain was only noticed the first 2 days after the injection. Since 2nd day after the injection less inward rotation in the left shoulder joint is noticed. I need to stretch all left shoulder muscles every day due to increased tightness since the injection. I noticed a slight tightness/bump in the axilla, which is also alleviated through stretching. I never had every-day tension in the left shoulder or had to pay special attention to stretching this area before this injection. Fatigue was noticed 5 days after the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-01
Dose 2 — Moderna
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Feeling cold — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Extremely cold chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Foggy brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush, Vertigo — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Hotflashes, Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-08
Survey response — day 7, dose 2
MedDRA: Night sweats — Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Free text: Night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 28, dose 2
MedDRA: Brain fog, Cold sweat, Feeling abnormal, Hot flush, Night sweats — Feeling: Fair

Free text: Cold sweats and hot flashes for 2 days. Night sweats for 2 days. Foggy brain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 42, dose 2
MedDRA: Oedema peripheral, Skin tightness — Feeling: Good

Free text: Swelling/tightness in the left axilla for 3 days. No pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-03
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Fatigue, Feeling abnormal, Nasopharyngitis, Nausea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: NauseaFeeling of about to vomit and have diarrheaFuzzy brainFatigueCold

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-08
Dose 3 — Moderna
2022-02-03
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-28
Dose 4 — Pfizer-BioNTech
2022-05-30
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Chills, Headache, Myalgia, Nausea, Pain — Feeling: Good

Free text: On the day of the vaccine and in the next day: Nausea, chills, headaches, joint pains, muscles and body aches

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-01	Moderna
3	2021-11-08	Moderna	No
4	2022-05-28	Pfizer-BioNTech	No

Free text

Release 2 — day 7, dose 1

2021-01-14

Systemic reaction (other): Moderate pain was only noticed the first 2 days after the injection. Since 2nd day after the injection less inward rotation in the left shoulder joint is noticed. I need to stretch all left shoulder muscles every day due to increased tightness since the injection. I noticed a slight tightness/bump in the axilla, which is also alleviated through stretching. I never had every-day tension in the left shoulder or had to pay special attention to stretching this area before this injection. Fatigue was noticed 5 days after the injection.

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Extremely cold chills

2021-02-03

Systemic reaction (other): Foggy brain

2021-02-04

Systemic reaction (other): Hotflashes, Vertigo

Release 3 — day 7, dose 2

2021-02-08

Systemic reaction (other): Night sweats

Release 5 — day 28, dose 2

2021-03-03

Symptoms: Cold sweats and hot flashes for 2 days. Night sweats for 2 days. Foggy brain.

Release 5 — day 42, dose 2

2021-03-17

Symptoms: Swelling/tightness in the left axilla for 3 days. No pain.

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: NauseaFeeling of about to vomit and have diarrheaFuzzy brainFatigueCold

Release 11 — days 1–6 daily, dose 4

2022-05-30

Systemic reaction (other): On the day of the vaccine and in the next day: Nausea, chills, headaches, joint pains, muscles and body aches

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	Brain fog	·	·	✓
SD	Cold sweat	✓	✓	✓
SD	Diarrhoea	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Feeling abnormal	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Nasopharyngitis	✓	·	✓
SD	Nausea	✓	·	✓
SD	Night sweats	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Skin tightness	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Hot flush	✓	✓	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	Joint stiffness	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Nausea	·	·	✓
SRO	Night sweats	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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