YN6-53250-62935

2 vaccinations 8 coded responses 18 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 446 / OH
Registered: 2021-01-04

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

2020-12-28
Dose 1 — Moderna
2021-01-04
Registered in v-safe
2021-01-04
Survey response — day 7, dose 1
MedDRA: Back pain, Burning sensation, Lymph node pain — Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Burning sensation in bilateral mandibular joints day of vaccine, submandibular lymph node sore same side as injection, low back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-25
Survey response — day 0, dose 2
MedDRA: Hot flush — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Hot flashes intermittently

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Survey response — day 7, dose 2
MedDRA: Nasal congestion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 14, dose 2
MedDRA: Arthralgia, Fatigue, Musculoskeletal stiffness — Feeling: Fair

Free text: Generalized joint pain and stiffness every evening. Fatigue has increased.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 21, dose 2
MedDRA: Back pain, Fatigue — Feeling: Fair

Free text: So tired all the time. Low back ache on and off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 42, dose 2
MedDRA: Dyspnoea exertional — Feeling: Good

Free text: Increasing shortness of breath with exertion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Back pain, Fatigue, Skin burning sensation — Feeling: Fair

Free text: Developed burning skin sensation over upper arms last week as after having COVID-19 vaccine. Feeling fatigued and have been having some increased joint discomfort / back pain past two weeks. No fever or other symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-25
Survey response — 12 months, dose 2
MedDRA: Cough, Diarrhoea, Dyspnoea, Fatigue, Headache, Hospitalisation, Hypoxia, Nausea, Oropharyngeal pain, Pyrexia, Quarantine, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Developed COVID symptoms in September 2021 (short of breath, extreme fatigue, nausea, loose stools, headache, sore throat, sinus congestion, nonproductive cough, low grade fever) and was quarantined. Hospitalized shortly after with persistent hypoxia

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna

Free text

Release 1 — day 7, dose 1

2021-01-04

Systemic reaction (other): Burning sensation in bilateral mandibular joints day of vaccine, submandibular lymph node sore same side as injection, low back pain

Release 2 — day 0, dose 2

2021-01-25

Systemic reaction (other): Hot flashes intermittently

Release 3 — day 7, dose 2

2021-02-01

Systemic reaction (other): Stuffy nose

Release 3 — day 14, dose 2

2021-02-08

Symptoms: Generalized joint pain and stiffness every evening. Fatigue has increased.

Release 4 — day 21, dose 2

2021-02-15

Symptoms: So tired all the time. Low back ache on and off

Release 5 — day 42, dose 2

2021-03-08

Symptoms: Increasing shortness of breath with exertion

Release 8 — 3 months, dose 2

2021-04-26

Symptoms: Developed burning skin sensation over upper arms last week as after having COVID-19 vaccine. Feeling fatigued and have been having some increased joint discomfort / back pain past two weeks. No fever or other symptoms

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: Developed COVID symptoms in September 2021 (short of breath, extreme fatigue, nausea, loose stools, headache, sore throat, sinus congestion, nonproductive cough, low grade fever) and was quarantined. Hospitalized shortly after with persistent hypoxia cut off by CDC

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	Back pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Dyspnoea exertional	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Hypoxia	·	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Quarantine	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Skin burning sensation	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓

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