ZTZ-10768-54650

4 vaccinations 8 coded responses 34 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 951 / CA
Registered: 2021-04-05

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

2021-04-05
Registered in v-safe
2021-04-05
Dose 1 — Janssen/Johnson & Johnson
2021-04-05
Survey response — day 0, dose 1
MedDRA: Headache, Pain, Pre-existing disease — Feeling: Good

Free text: Already was experiencing headache (common for me; migraines) and soreness (common for me since back surgery). So dont know if the vaccine has made anything U was already feeling worse or not.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Chills, Headache, Pain, Pain in extremity, Pyrexia, Sacral pain, Skin discolouration — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches

Free text: Bad headache and felt like I have fever in middle of night; Some chills; throbbing and soreness iunder arm and side of chest on side of injection; already sore back is worse; night of injection, I noticed light brown mark size of quarter (like faded black and blue mark) on top center of hand on injection side (friend that also got J&J vaccine yesterday told me he has similar mark, although smaller, in same spot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Headache — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: I generally suffer from headaches, knee/back pain. So, not sure if they are still worsened from vaccine or back to normal. I'm inclined to say probably back towards normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Condition aggravated, Myalgia, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches

Free text: Pre-existing joint and muscle pain continued and could have been worsened

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 · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-10-28
Dose 2 — Moderna
2021-10-28
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Lightheaded after injection

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
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
2021-10-30
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
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Headache, Pain — Feeling: Good

Free text: Back to my usual headaches and joint/body aches.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Headache, Pain — Feeling: Good

Free text: Usual headaches and joint/body aches.

MedDRA releases: 2024-11 · check-in free text available
2022-07-08
Dose 3 — Moderna
2022-07-08
Health check-in — day 0, dose 3
Feeling: Fair · Headache

Adult check-in
2022-07-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2022-07-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-15
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-07-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2023-01-12
Dose 4 — Moderna
2023-01-12
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2023-01-13
Survey response — days 1–6 daily, dose 4
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-01-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2023-01-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-01-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-01-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-01-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Janssen/Johnson & Johnson
2	2021-10-28	Moderna	No
3	2022-07-08	Moderna	No
4	2023-01-12	Moderna	No

Free text

Release 6 — day 0, dose 1

2021-04-05

Systemic reaction (other): Already was experiencing headache (common for me; migraines) and soreness (common for me since back surgery). So dont know if the vaccine has made anything U was already feeling worse or not.

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Bad headache and felt like I have fever in middle of night; Some chills; throbbing and soreness iunder arm and side of chest on side of injection; already sore back is worse; night of injection, I noticed light brown mark size of quarter (like faded black and blue mark) on top center of hand on injection side (friend that also got J&J vaccine yesterday told me he has similar mark, although smaller, in same spot.

2021-04-08

Systemic reaction (other): I generally suffer from headaches, knee/back pain. So, not sure if they are still worsened from vaccine or back to normal. I'm inclined to say probably back towards normal.

2021-04-09

Systemic reaction (other): Pre-existing joint and muscle pain continued and could have been worsened

Release 10 — day 0, dose 2

2021-10-28

Systemic reaction (other): Lightheaded after injection

Release 10 — days 1–6 daily, dose 2

2021-11-02

Systemic reaction (other): Back to my usual headaches and joint/body aches.

2021-11-03

Systemic reaction (other): Usual headaches and joint/body aches.

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
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sacral pain	✓	✓	✓
SRO	Skin discolouration	✓	✓	✓

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