ZAQ-14891-17684

2 vaccinations 7 coded responses 29 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 920 / CA
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Moderna
2021-02-04
Survey response — day 0, dose 1
MedDRA: Lip swelling, Paraesthesia oral, Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Tingling & fullness of lips. Ringing in my ears.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Joint swelling, Staphylococcal infection — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Staph infection post surgery in my knee was better, but severely swelling past 2 days. Was on antibiotics 10 days until 1/30/21.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Leg swelling continuing from post surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling, Post procedural infection, Staphylococcal infection — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Leg swelling from post surgery staph infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat. Leg pain and swelling post surgery on knee.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat. Leg swelling, post surgery.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-03-12
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Janssen/Johnson & Johnson
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · 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: Condition aggravated, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My left leg pain is worse. I had meniscus surgery, but my leg pain goes from thigh to knee to calf to the ball if my foot. Damp & rainy weather? Or something else? Dont know.

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
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
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
2022-04-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-04-08	Janssen/Johnson & Johnson

Free text

Release 3 — day 0, dose 1

2021-02-04

Systemic reaction (other): Tingling & fullness of lips. Ringing in my ears.

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Staph infection post surgery in my knee was better, but severely swelling past 2 days. Was on antibiotics 10 days until 1/30/21.

2021-02-08

Systemic reaction (other): Leg swelling continuing from post surgery

2021-02-09

Systemic reaction (other): Leg swelling from post surgery staph infection

2021-02-10

Systemic reaction (other): Sore throat. Leg pain and swelling post surgery on knee.

Release 4 — day 7, dose 1

2021-02-11

Systemic reaction (other): Sore throat. Leg swelling, post surgery.

Release 7 — day 14, dose 2

2021-04-22

Symptoms: My left leg pain is worse. I had meniscus surgery, but my leg pain goes from thigh to knee to calf to the ball if my foot. Damp & rainy weather? Or something else? Dont know.

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	Condition aggravated	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Post procedural infection	✓	✓	✓
SRO	Staphylococcal infection	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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