YHW-26728-54647

3 vaccinations 12 coded responses 29 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 913 / CA
Registered: 2021-04-08

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Janssen/Johnson & Johnson
2021-04-08
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Decreased appetite, Dizziness, Head discomfort, Musculoskeletal stiffness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Lower back pain. Stiff muscles. Loss of appetite. Dizzy, like my head felt like it was too heavy & big for my body.

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

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation, Micturition urgency — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Not sure if this is related, but the past few days Ive felt like I had to pee a lot, but sometimes I try and nothing happens. Also been constipated for a few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Nausea

Free text: Pain in my legs. This could be from sitting at a desk all day though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 7, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Pain/ache in my legs, mostly my calves.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 14, dose 1
MedDRA: Myalgia — Feeling: Fair

Free text: This probably isnt related to the vaccine, but it might be worth noting that Ive been having muscle aches & pains in my lower back, & my legs hurt when I walk down stairs (like mild arthritic muscle pain). This could be caused from sitting at w

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 21, single dose
MedDRA: Feeling hot, Myalgia, Pain, Paraesthesia, Restless arm syndrome, Sleep disorder — Feeling: Poor

Free text: My vaccination arm has pain going down my muscles. Its dull, achy, warm & constant. Sometimes tingles & buzzes down to my hand. Its kind of like restless arm syndrome. It was bothering me so much I woke at 1:30am & couldnt go back to sleep t

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 28, single dose
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 35, single dose
Feeling: Fair

Adult check-in
2021-05-20
Health check-in — day 42, single dose
Feeling: Fair

Adult check-in
2021-07-08
Survey response — 3 months, dose 1
MedDRA: Asthenia, Fatigue, Feeling hot, Injection site pain, Malaise, Pain, Pain in extremity, Paraesthesia — Feeling: Fair · Be unable to work or attend school

Free text: Arm muscles still sore at injection site, down the arm. Occasionally warm, tingly sensation goes down to my hand. Hurts to lift or move arm back.General malaise, feeling run down & weak since I got the vaccine. Although the malaise is somewhat better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2021-11-24
Dose 2 — Moderna
2022-04-08
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in
2022-09-30
Dose 3 — Moderna
2022-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dry cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Increased upper airway secretion, Oropharyngeal pain — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Sore throat, dry cough, some mild warm drip in throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Survey response — day 7, dose 3
MedDRA: Chest pain, Cough, Nasal discomfort, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Tested positive for COVID-19 on rapid test yesterday. Have sore throat, dry cough, congestion, nose feels like I snorted dust, occasional sharp chest pain under my right breast.

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Health check-in — day 14, dose 3
Feeling: Poor

Adult check-in
2022-10-21
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-10-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-12-30
Survey response — 3 months, dose 3
MedDRA: COVID-19, Hypoaesthesia — Feeling: Good

Free text: Sometimes my toes feel numb. Mostly on my right foot & it goes up my leg. It started a week after I got COVID in early Oct. 2022

MedDRA releases: 2024-11 · check-in free text available
2023-03-31
Survey response — 6 months, dose 3
MedDRA: Burning sensation, COVID-19, Temperature regulation disorder — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Janssen/Johnson & Johnson
2	2021-11-24	Moderna	No
3	2022-09-30	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): Lower back pain. Stiff muscles. Loss of appetite. Dizzy, like my head felt like it was too heavy & big for my body.

2021-04-11

Systemic reaction (other): Not sure if this is related, but the past few days Ive felt like I had to pee a lot, but sometimes I try and nothing happens. Also been constipated for a few days.

2021-04-14

Systemic reaction (other): Pain in my legs. This could be from sitting at a desk all day though.

Release 7 — day 7, dose 1

2021-04-15

Systemic reaction (other): Pain/ache in my legs, mostly my calves.

Release 7 — day 14, dose 1

2021-04-22

Symptoms: This probably isnt related to the vaccine, but it might be worth noting that Ive been having muscle aches & pains in my lower back, & my legs hurt when I walk down stairs (like mild arthritic muscle pain). This could be caused from sitting at w

Release 8 — day 21, single dose

2021-04-29

Symptoms: My vaccination arm has pain going down my muscles. Its dull, achy, warm & constant. Sometimes tingles & buzzes down to my hand. Its kind of like restless arm syndrome. It was bothering me so much I woke at 1:30am & couldnt go back to sleep t

Release 9 — 3 months, dose 1

2021-07-08

Symptoms: Arm muscles still sore at injection site, down the arm. Occasionally warm, tingly sensation goes down to my hand. Hurts to lift or move arm back.General malaise, feeling run down & weak since I got the vaccine. Although the malaise is somewhat better cut off by CDC

Release 12 — days 1–6 daily, dose 3

2022-10-05

Systemic reaction (other): Dry cough

2022-10-06

Systemic reaction (other): Sore throat, dry cough, some mild warm drip in throat

Release 12 — day 7, dose 3

2022-10-07

Systemic reaction (other): Tested positive for COVID-19 on rapid test yesterday. Have sore throat, dry cough, congestion, nose feels like I snorted dust, occasional sharp chest pain under my right breast.

Release 12 — 3 months, dose 3

2022-12-30

Symptoms: Sometimes my toes feel numb. Mostly on my right foot & it goes up my leg. It started a week after I got COVID in early Oct. 2022

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	Asthenia	✓	✓	✓
SD	Burning sensation	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Restless arm syndrome	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Temperature regulation disorder	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	·	·	✓
SRO	Constipation	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Increased upper airway secretion	·	·	✓
SRO	Micturition urgency	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Nasal discomfort	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓

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