YZ6-22083-17489

2 vaccinations 16 coded responses 24 check-ins 16 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 430 / OH
Registered: 2021-02-08

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

2021-02-07
Dose 1 — Moderna
2021-02-08
Registered in v-safe
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Feeling hot, Immediate post-injection reaction, Musculoskeletal stiffness, Neck pain, Yawning — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Free text: Neck pain and stiffness day after. Had warm sensation 15 mins after the injection in neck and face on that side. Uncontrollable yawning for an hour day with the chills the day of.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Neck pain — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness

Free text: Neck and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Neck pain, Pain — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have in past had pain at night. It seems to be back and worse after second night of shot. It occurs through out my whole body and worse then ever started in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good

Free text: Night time pain as previously mentioned

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Survey response — day 14, dose 1
MedDRA: Inflammation — Feeling: Good

Free text: Seem to have inflammation in my body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-06
Dose 2 — Moderna
2021-03-06
Survey response — day 0, dose 2
MedDRA: Musculoskeletal stiffness, Pruritus, Skin warm — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Keep getting hot spots and itch on random parts of my body then it goes away. Neck stiff.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Cheilitis, Eyelid ptosis, Lip erythema, Ocular discomfort, Paranasal sinus discomfort, Tongue coated — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Red inflamed lips. Droopy eyelid. Tongue has a coating on it. Sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dry skin, Ear pain, Neck pain, Tongue coated — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Ear and neck hurts more on shot side and feels hot.tongue has a coating.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Lip erythema, Lymphadenopathy, Malaise, Night sweats — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen glands. Hot and fullness ear on side of shot. Night sweats. Lips turned red and swelled again. Never had any botox before or after just to clarify. Was feeling okay not great yesterday then when arm aggravated so did my symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Lip erythema, Lip swelling, Skin warm — Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Still Hot and fullness in and around ear on side shot was given. Lips still slightly red and puffy(no previous botox)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Lip erythema, Lip swelling, Musculoskeletal stiffness, Neck pain — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck still stiff and hurts. Lips still not all the way back from being red swelled and hot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Lip erythema, Lip swelling — Feeling: Good · Site: Itching

Free text: Lips still red and slightly puffy. No previous or current botox ever done.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 7, dose 2
MedDRA: Lip erythema, Lip swelling — Feeling: Good · Site: Itching · Headache

Free text: Lips still slightly red and puffy still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-05
Survey response — 3 months, dose 2
MedDRA: Abnormal dreams, Nightmare — Feeling: Good

Free text: Very vivid nightmares seems to have started after second vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-05
Survey response — 6 months, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Seems like fatigue has been a struggle since vaccine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-03-06
Survey response — 12 months, dose 2
MedDRA: COVID-19, Fatigue, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: I got covid and I have not recoveres from the chronic fatigue and throat recovered.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-07	Moderna
2	2021-03-06	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-08

Systemic reaction (other): Neck pain and stiffness day after. Had warm sensation 15 mins after the injection in neck and face on that side. Uncontrollable yawning for an hour day with the chills the day of.

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Neck and back pain

2021-02-11

Systemic reaction (other): I have in past had pain at night. It seems to be back and worse after second night of shot. It occurs through out my whole body and worse then ever started in neck

2021-02-13

Systemic reaction (other): Night time pain as previously mentioned

Release 4 — day 14, dose 1

2021-02-21

Symptoms: Seem to have inflammation in my body.

Release 5 — day 0, dose 2

2021-03-06

Systemic reaction (other): Keep getting hot spots and itch on random parts of my body then it goes away. Neck stiff.

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Red inflamed lips. Droopy eyelid. Tongue has a coating on it. Sinus pressure

2021-03-08

Systemic reaction (other): Ear and neck hurts more on shot side and feels hot.tongue has a coating.

2021-03-09

Systemic reaction (other): Swollen glands. Hot and fullness ear on side of shot. Night sweats. Lips turned red and swelled again. Never had any botox before or after just to clarify. Was feeling okay not great yesterday then when arm aggravated so did my symptoms.

2021-03-10

Systemic reaction (other): Still Hot and fullness in and around ear on side shot was given. Lips still slightly red and puffy(no previous botox)

2021-03-11

Systemic reaction (other): Neck still stiff and hurts. Lips still not all the way back from being red swelled and hot.

2021-03-12

Systemic reaction (other): Lips still red and slightly puffy. No previous or current botox ever done.

Release 5 — day 7, dose 2

2021-03-13

Systemic reaction (other): Lips still slightly red and puffy still

Release 8 — 3 months, dose 2

2021-06-05

Symptoms: Very vivid nightmares seems to have started after second vaccine.

Release 9 — 6 months, dose 2

2021-09-05

Symptoms: Seems like fatigue has been a struggle since vaccine.

Release 11 — 12 months, dose 2

2022-03-06

Symptoms: I got covid and I have not recoveres from the chronic fatigue and throat recovered.

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	Abnormal dreams	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	·	✓
SD	Inflammation	✓	✓	✓
SD	Nightmare	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Cheilitis	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dry skin	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Eyelid ptosis	·	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lip erythema	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Ocular discomfort	✓	✓	○
SRO	Pain	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Tongue coated	✓	✓	✓
SRO	Yawning	✓	✓	✓

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