5QY-34302-69942

3 vaccinations 11 coded responses 38 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 750 / TX
Registered: 2021-03-12

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

2021-03-11
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation — Feeling: Good · Site: Pain

Free text: A mild burning sensation in legs particularly around the knees

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — day 14, dose 1
MedDRA: Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Random muscle aches and pains out of the blue today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 21, dose 1
MedDRA: Headache, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: I think its allergies. Pollen is bad here but, I did get a Covid test a week ago because Ive had headaches and feeling all over crummy. The test was negative

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Paraesthesia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: A weird burning/tingling sensation around knees

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Same symptoms but Better than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: A lingering aching in joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-21
Dose 3 — Moderna
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Muscle tightness, Neck pain, Pain in jaw — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Tense and achy jaw. Pain on the side of my neck (left side -injection side)

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Muscle tightness, Muscular weakness, Musculoskeletal stiffness, Pain in jaw — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: A little pain in jaw area (mostly tight feeling), stiff neck on side of injection site, tiredness and overall fatigue and muscle weakness

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis, Pyrexia — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Felt feverish and sweaty

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-27
Survey response — days 1–6 daily, dose 3
MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Neck stiffness still there

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-12-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-22
Survey response — 6 months, dose 3
MedDRA: Angina pectoris — Feeling: Good

Free text: Some minor pain around the heart area

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-11-21	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): A mild burning sensation in legs particularly around the knees

Release 6 — day 14, dose 1

2021-03-25

Symptoms: Random muscle aches and pains out of the blue today

Release 6 — day 21, dose 1

2021-04-01

Symptoms: I think its allergies. Pollen is bad here but, I did get a Covid test a week ago because Ive had headaches and feeling all over crummy. The test was negative

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): A weird burning/tingling sensation around knees

2021-04-10

Systemic reaction (other): Same symptoms but Better than yesterday

Release 7 — day 14, dose 2

2021-04-22

Symptoms: A lingering aching in joints

Release 10 — days 1–6 daily, dose 3

2021-11-23

Systemic reaction (other): Tense and achy jaw. Pain on the side of my neck (left side -injection side)

2021-11-24

Systemic reaction (other): A little pain in jaw area (mostly tight feeling), stiff neck on side of injection site, tiredness and overall fatigue and muscle weakness

2021-11-25

Systemic reaction (other): Felt feverish and sweaty

2021-11-27

Systemic reaction (other): Neck stiffness still there

Release 11 — 6 months, dose 3

2022-05-22

Symptoms: Some minor pain around the heart area

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	Angina pectoris	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Muscle tightness	·	·	✓
SRO	Muscular weakness	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Pain in jaw	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pyrexia	·	·	✓

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