ZJ8-13355-09339

2 vaccinations 15 coded responses 19 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 221 / VA
Registered: 2021-02-01

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

2021-01-30
Dose 1 — Moderna
2021-02-01
Registered in v-safe
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Good · Site: Pain · Joint pains

Free text: Neck pain in back left side of neck at 8pm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain, Pain in extremity — Feeling: Fair · Muscle or body aches

Free text: Back of neck sore, arm sore on opposite side of injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-02-13
Survey response — day 14, dose 1
MedDRA: Migraine — Feeling: Poor

Free text: Migraine left eye for two days. Off and on.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 21, dose 1
MedDRA: Cough, Palpitations, Pyrexia — Feeling: Poor

Free text: Unrelated to vaccine. Fever, cough, heart palpitations.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Dose 2 — Moderna
2021-02-27
Survey response — day 0, dose 2
MedDRA: Dizziness, Hot flush — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Hot flashes, dizzy, light headed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Bone pain, Chest pain, Hot flush — Feeling: Poor · Site: Redness · 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: Bone Pain lower back and rear hips. Hot flashes. Chest Pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Renal pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: Kidney pain for six hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Dizziness, Muscle tightness — Feeling: Fair · Headache, Muscle or body aches

Free text: Weird muscle tightness in my front hip for two days. Dizzy off balance.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Chest pain, Dizziness, Heart rate irregular — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Chest Pain and irregular heartbeat, light headed. Chest tightness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Fair · Fatigue or tiredness

Free text: Chest Pain left of sternum, last few days off and on.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 14, dose 2
MedDRA: Arthralgia, Groin pain — Feeling: Good

Free text: Hip/groin pain so severe it made me drop to my knees this morning. Felt like a hot poker for absolutely no reason. Never had it happen before. Lasted one minute. No health insurance or I would have seen a doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 21, dose 2
MedDRA: Burning sensation, Groin pain, Movement disorder, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Groin pain, left side. Still concerning. Feels like surging burn and tingles first. Couldn't move until the pain stopped, about a minute.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — day 28, dose 2
MedDRA: Arthralgia — Feeling: Fair

Free text: Hip pain. Continued.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-08-28
Survey response — 6 months, dose 2
MedDRA: Chest pain, Dyspnoea, Fatigue, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: Last month I had shortness of breath, chest pain, fever, and fatigue for two weeks. I got tested for covid after two weeks. It came back negative but it makes me wonder.

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-02-27	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Neck pain in back left side of neck at 8pm.

2021-02-02

Systemic reaction (other): Back of neck sore, arm sore on opposite side of injection.

Release 4 — day 14, dose 1

2021-02-13

Symptoms: Migraine left eye for two days. Off and on.

Release 4 — day 21, dose 1

2021-02-20

Symptoms: Unrelated to vaccine. Fever, cough, heart palpitations.

Release 4 — day 0, dose 2

2021-02-27

Systemic reaction (other): Hot flashes, dizzy, light headed.

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Bone Pain lower back and rear hips. Hot flashes. Chest Pain.

2021-03-01

Systemic reaction (other): Kidney pain for six hours.

2021-03-02

Systemic reaction (other): Weird muscle tightness in my front hip for two days. Dizzy off balance.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Chest Pain and irregular heartbeat, light headed. Chest tightness.

2021-03-04

Systemic reaction (other): Dizzy

2021-03-05

Systemic reaction (other): Chest Pain left of sternum, last few days off and on.

Release 5 — day 14, dose 2

2021-03-15

Symptoms: Hip/groin pain so severe it made me drop to my knees this morning. Felt like a hot poker for absolutely no reason. Never had it happen before. Lasted one minute. No health insurance or I would have seen a doctor.

Release 6 — day 21, dose 2

2021-03-22

Symptoms: Groin pain, left side. Still concerning. Feels like surging burn and tingles first. Couldn't move until the pain stopped, about a minute.

Release 6 — day 28, dose 2

2021-03-28

Symptoms: Hip pain. Continued.

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Last month I had shortness of breath, chest pain, fever, and fatigue for two weeks. I got tested for covid after two weeks. It came back negative but it makes me wonder.

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	Burning sensation	✓	✓	✓
SD	Chest pain	✓	·	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Groin pain	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Movement disorder	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Heart rate irregular	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Renal pain	✓	✓	✓

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