5EW-32225-15212

3 vaccinations 6 coded responses 10 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 991 / WA
Registered: 2021-02-19

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-17
Dose 1 — Moderna
2021-02-19
Registered in v-safe
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation, Cough, Oropharyngeal pain, Throat irritation — Feeling: Fair · Site: Pain, Redness, Itching · Chills, Headache, Fatigue or tiredness

Free text: The second night after the shot, woke with a coughing session. Throat and upper lungs started burning really bad. My lungs burned worse with each breath I took in. I took a pill for sinus/allergies, and the coughing stopped. Next morning, my throat was still a bit sore. I would rate the symptoms during the night of burning lungs and throat as severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Ear pain, Injection site pain, Neck pain, Pain, Self-medication, Tenderness — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: The side I got the shot in is tender and painful on my neck from between the ear and shoulder all the way down to injection site on my arm. The top of the shoulder and the are painful from top of the shoulder down to about 4 front and back. Have tried Motrin, Tylenol, heat, and massage. Nothing is relieving the pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Injection site pain, Neck pain, Pain in extremity, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Still pain on left side from mid neck under ear to top of shoulder down arm to injection site. Hurts to VF turn my hear to the leftside I got the shot. Have taken 1000 mg of Motrin, but it takes about 1 1/2 hrs to start relieving the pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 7, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-02-24
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Survey response — day 14, dose 1
MedDRA: Arthralgia, Chills, Injection site pain, Neck pain, Self-medication, Telemedicine — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Had chills off and on. Had horrible pain from injection site up to shoulder joint, across the shoulder and up the side of neck. Teledoc said to take 10 mg of steroid daily. That did not help the pain. Finally tried Benadryl and that helped.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Survey response — day 21, dose 1
MedDRA: Hyperhidrosis, Nausea — Feeling: Good

Free text: Sudden onsets of Nausea. Sudden start sweating profusely. The last two days, have done better. Only a couple times did I feel nausea for short periods of time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-18
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2021-10-15
Dose 2 — Janssen/Johnson & Johnson
2021-12-13
Call successful
Participant prefers to complete VAERS report online
2021-12-14
Dose 3 — Janssen/Johnson & Johnson
2022-02-18
Survey response — 12 months, dose 1
MedDRA: Arthralgia, Chest discomfort, Headache, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches almost every day; pain in back of neck that radiates across to top of shoulder joint; off and on pressure feeling in middle of my chest between my breasts.

MedDRA releases: 2024-11 · check-in free text available
2022-03-15
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-14
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-10-15	Janssen/Johnson & Johnson	No
3	2021-12-14	Janssen/Johnson & Johnson	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): The second night after the shot, woke with a coughing session. Throat and upper lungs started burning really bad. My lungs burned worse with each breath I took in. I took a pill for sinus/allergies, and the coughing stopped. Next morning, my throat was still a bit sore. I would rate the symptoms during the night of burning lungs and throat as severe.

2021-02-22

Systemic reaction (other): The side I got the shot in is tender and painful on my neck from between the ear and shoulder all the way down to injection site on my arm. The top of the shoulder and the are painful from top of the shoulder down to about 4 front and back. Have tried Motrin, Tylenol, heat, and massage. Nothing is relieving the pain.

2021-02-23

Systemic reaction (other): Still pain on left side from mid neck under ear to top of shoulder down arm to injection site. Hurts to VF turn my hear to the leftside I got the shot. Have taken 1000 mg of Motrin, but it takes about 1 1/2 hrs to start relieving the pain.

Release 5 — day 14, dose 1

2021-03-03

Symptoms: Had chills off and on. Had horrible pain from injection site up to shoulder joint, across the shoulder and up the side of neck. Teledoc said to take 10 mg of steroid daily. That did not help the pain. Finally tried Benadryl and that helped.

Release 5 — day 21, dose 1

2021-03-10

Symptoms: Sudden onsets of Nausea. Sudden start sweating profusely. The last two days, have done better. Only a couple times did I feel nausea for short periods of time.

Release 11 — 12 months, dose 1

2022-02-18

Symptoms: Headaches almost every day; pain in back of neck that radiates across to top of shoulder joint; off and on pressure feeling in middle of my chest between my breasts.

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	Chest discomfort	·	·	✓
SD	Chills	✓	✓	✓
SD	Headache	·	·	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Telemedicine	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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