5V4-31904-76524

5 vaccinations 28 coded responses 42 check-ins 22 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 975 / OR
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen axillary glands same site as injected

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Oedema peripheral, Pain, Pain in extremity — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swelling is down at right armpit site. Right arm is still sore with movement.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Have the sweats while I am napping or sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still have episodes of of the sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersomnia, No adverse event — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Have slept most of the night and day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Survey response — day 14, dose 1
MedDRA: Arthralgia, Fatigue, Myalgia, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still fatigued and still running a low grade fever. Highest was 100.4 Joint and muscle aches are almost gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 28, dose 1
MedDRA: Limb discomfort, Lymphadenopathy, Oedema peripheral — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Left leg swelled and felt heavy. Lymph nodes left groin were enlarged. No pain or hot spot. Im afraid to get the second vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 35, dose 1
MedDRA: Limb discomfort, Peripheral swelling — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Left leg still swollen and feels heavy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Dose 2 — Moderna
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersomnia — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I have slept 19 out of the last 24 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Lymph nodes are slightly swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-16
Survey response — day 21, dose 2
MedDRA: Decreased appetite, Diarrhoea, Dyspnoea, Fatigue, Headache, Hyperhidrosis, Hypersomnia, Influenza like illness, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Fever 101 Fahrenheit. Shortness of breath. Sweats. Headache. Decreased appetite. One day of diarrhea. Felt like I had the flu. Fatigue, have slept more than ten hours per day times three days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — day 35, dose 2
MedDRA: Arthralgia, Brain fog, Fatigue, Myalgia, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue. Spiking fevers of 101 Fahrenheit orally, with fatigue. No more muscle aches or joint pain. Feel foggy at times. This is better than before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 42, dose 2
MedDRA: Fatigue, Induration, Lymphadenopathy, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Left leg is swollen again. There is no pain or hot area. Left groin lymphs are swollen and slightly dense. Other than that I am tired, but ok.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-23
Survey response — 3 months, dose 2
MedDRA: Dyspnoea exertional, Heart rate irregular, Medical counselling, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: SOB. Upon exertion. Leg swelling. Atypical heart beats. Recovering slower than expected. Will see Dr. if continues · Healthcare visit (other): Spoke with ED Nurse

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-29
Call 1 — Left Voicemail
2021-10-25
Survey response — 6 months, dose 2
MedDRA: Brain fog, Exposure to SARS-CoV-2, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fog brain & fatigue. Exposed to COVID-19, asymptomatic

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Dose 3 — Moderna
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain, Muscular weakness, Pain — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Unable to lift normally, pain radiates from injection site to ear.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog, Fatigue — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Very tired and brain foggy but no leg swelling like last time

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Night sweats — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Night sweats

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-11
Health check-in — day 7, dose 3
Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-24
Survey response — day 21, dose 3
MedDRA: Brain fog, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased fatigue and brain fog

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Survey response — day 28, dose 3
MedDRA: Brain fog, Hypersomnia, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Fever of 101 Fahrenheit, slept over 13 hours. Had brain fog.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-06
Survey response — 6 months, dose 3
MedDRA: Dyspnoea exertional, Fatigue, Oedema peripheral — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued pedal edema, tiredness and DOE. Are there any instances of heart failure post vaccination? Please let me know. Thanks

MedDRA releases: 2024-11 · check-in free text available
2022-08-09
Dose 4 — Moderna
2022-11-03
Survey response — 12 months, dose 3
MedDRA: Fatigue, Heart rate irregular — Feeling: Fair

Free text: Irregular heartbeat. Fatigue

MedDRA releases: 2024-11 · check-in free text available
2023-03-17
Dose 5 — Moderna
2023-03-18
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-03-22
Survey response — days 1–6 daily, dose 5
MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-03-23
Survey response — days 1–6 daily, dose 5
MedDRA: Peripheral swelling — Feeling: Fair · Site: Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11
2023-03-24
Health check-in — day 7, dose 5
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-04-02
Survey response — day 14, dose 5
MedDRA: Oedema peripheral — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-09
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2023-04-14
Survey response — day 28, dose 5
MedDRA: Fatigue, Headache, Oedema peripheral, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-22
Survey response — day 35, dose 5
MedDRA: Decreased appetite, Fatigue, Peripheral swelling, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-28
Survey response — day 42, dose 5
MedDRA: Anxiety, Cough, Dyspnoea, Fatigue, Peripheral swelling, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-23	Moderna
3	2021-11-02	Moderna	No
4	2022-08-09	Moderna	No
5	2023-03-17	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Swollen axillary glands same site as injected

2021-03-19

Systemic reaction (other): Swelling is down at right armpit site. Right arm is still sore with movement.

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Have the sweats while I am napping or sleeping

2021-03-21

Systemic reaction (other): Still have episodes of of the sweats

2021-03-23

Systemic reaction (other): Have slept most of the night and day

Release 6 — day 14, dose 1

2021-03-31

Symptoms: Still fatigued and still running a low grade fever. Highest was 100.4 Joint and muscle aches are almost gone.

Release 7 — day 28, dose 1

2021-04-16

Symptoms: Left leg swelled and felt heavy. Lymph nodes left groin were enlarged. No pain or hot spot. Im afraid to get the second vaccination.

Release 7 — day 35, dose 1

2021-04-21

Symptoms: Left leg still swollen and feels heavy

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): I have slept 19 out of the last 24 hours.

Release 8 — day 7, dose 2

2021-04-30

Systemic reaction (other): Lymph nodes are slightly swollen

Release 8 — day 21, dose 2

2021-05-16

Symptoms: Fever 101 Fahrenheit. Shortness of breath. Sweats. Headache. Decreased appetite. One day of diarrhea. Felt like I had the flu. Fatigue, have slept more than ten hours per day times three days.

Release 8 — day 35, dose 2

2021-05-30

Symptoms: Extreme fatigue. Spiking fevers of 101 Fahrenheit orally, with fatigue. No more muscle aches or joint pain. Feel foggy at times. This is better than before.

Release 8 — day 42, dose 2

2021-06-04

Symptoms: Left leg is swollen again. There is no pain or hot area. Left groin lymphs are swollen and slightly dense. Other than that I am tired, but ok.

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: SOB. Upon exertion. Leg swelling. Atypical heart beats. Recovering slower than expected. Will see Dr. if continues

Healthcare visit (other): Spoke with ED Nurse

Release 10 — 6 months, dose 2

2021-10-25

Symptoms: Fog brain & fatigue. Exposed to COVID-19, asymptomatic

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Unable to lift normally, pain radiates from injection site to ear.

2021-11-04

Systemic reaction (other): Very tired and brain foggy but no leg swelling like last time

2021-11-07

Systemic reaction (other): Night sweats

Release 10 — day 21, dose 3

2021-11-24

Symptoms: Increased fatigue and brain fog

Release 10 — day 28, dose 3

2021-12-02

Symptoms: Fever of 101 Fahrenheit, slept over 13 hours. Had brain fog.

Release 11 — 6 months, dose 3

2022-05-06

Symptoms: Continued pedal edema, tiredness and DOE. Are there any instances of heart failure post vaccination? Please let me know. Thanks

Release 12 — 12 months, dose 3

2022-11-03

Symptoms: Irregular heartbeat. Fatigue

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
HCVO	Medical counselling	✓	·	✓
SD	Anxiety	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Cough	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea exertional	✓	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate irregular	✓	·	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Induration	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Muscular weakness	·	·	✓
SRO	Night sweats	·	·	✓
SRO	No adverse event	○	✓	○
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	·	·	✓

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