5JA-25971-39968

5 vaccinations 12 coded responses 41 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 925 / CA
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Survey response — day 0, dose 1
MedDRA: Swollen tongue — Feeling: Good · Site: Swelling · Fatigue or tiredness

Free text: My tongue swelled but has gone down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Swollen tongue — Feeling: Fair · Site: Pain · Headache

Free text: My tongue is still a little swollen but is smaller and not as sore and raw feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site vesicles — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: The injection site has blisters

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Glossodynia, Injection site vesicles, Swollen tongue — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: The swelling and soreness of my tongue has improved the injection site is still blistered and one piped today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Glossitis, Glossodynia, Swollen tongue — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Swelling in tongue gone but still sore and raw feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-28
Survey response — day 14, dose 1
MedDRA: Myalgia — Feeling: Fair

Free text: Mussels and joints are still hurting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-13
Survey response — day 28, dose 1
MedDRA: Condition aggravated, Headache, Pre-existing disease — Feeling: Fair

Free text: Nagging headache, still having joint pain and some sore mussels

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-22
Dose 2 — Moderna
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-05
Survey response — day 42, dose 2
MedDRA: Diarrhoea — Feeling: Good

Free text: Off and on diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2022-02-22
Survey response — 12 months, dose 2
MedDRA: Cough, Pre-existing disease, SARS-CoV-2 test negative, Sinus disorder — Feeling: Fair

Free text: Cough that won't go away i I go tested I don't have Covid sinus issues, allergies to but that is getting better. Cough has stayed.

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-05
Dose 4 — Moderna
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-10
Survey response — days 1–6 daily, dose 4
MedDRA: Eye irritation — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Eye have burned for the last two days

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-13
Health check-in — day 7, dose 4
Feeling: Fair · Site: Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-20
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-28
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-02
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-11
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-08-04
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-14
Dose 5 — Moderna
2022-10-16
Survey response — day 28, dose 5
MedDRA: Peripheral swelling, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: When I got the shot my arm swelled sided up on my skin fever and

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Survey response — day 35, dose 5
MedDRA: Cough, Productive cough — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Coughing phlem

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Report sent to call center — day 35, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-20
Call 1 — Left Voicemail
2022-10-26
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-14
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-20
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-22	Moderna
3	2021-10-29	Moderna	No
4	2022-05-05	Moderna	No
5	2022-09-14	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-14

Systemic reaction (other): My tongue swelled but has gone down.

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): My tongue is still a little swollen but is smaller and not as sore and raw feeling

2021-01-16

Systemic reaction (other): The injection site has blisters

2021-01-17

Systemic reaction (other): The swelling and soreness of my tongue has improved the injection site is still blistered and one piped today

2021-01-19

Systemic reaction (other): Swelling in tongue gone but still sore and raw feeling

Release 2 — day 14, dose 1

2021-01-28

Symptoms: Mussels and joints are still hurting

Release 4 — day 28, dose 1

2021-02-13

Symptoms: Nagging headache, still having joint pain and some sore mussels

Release 6 — day 42, dose 2

2021-04-05

Symptoms: Off and on diarrhea

Release 11 — 12 months, dose 2

2022-02-22

Symptoms: Cough that won't go away i I go tested I don't have Covid sinus issues, allergies to but that is getting better. Cough has stayed.

Release 11 — days 1–6 daily, dose 4

2022-05-10

Systemic reaction (other): Eye have burned for the last two days

Release 12 — day 28, dose 5

2022-10-16

Symptoms: When I got the shot my arm swelled sided up on my skin fever and

Release 12 — day 35, dose 5

2022-10-19

Symptoms: Coughing phlem

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	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus disorder	·	·	✓
SRO	Eye irritation	·	·	✓
SRO	Glossitis	✓	✓	✓
SRO	Glossodynia	✓	✓	✓
SRO	Injection site vesicles	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓

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