22Z-29380-37029

5 vaccinations 4 coded responses 65 check-ins 4 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 207 / MD
Registered: 2021-02-03

Relationship: Self
Race: Black or African American
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-03
Registered in v-safe
2021-02-03
Dose 1 — Moderna
2021-02-03
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

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

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Diarrhea

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-10
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · Joint pains

Adult check-in
2021-02-17
Survey response — day 14, dose 1
MedDRA: Arthralgia, Headache, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Myalgia — Feeling: Good

Free text: 2/11- inj. site began itching badly with swelling, redness, pain. Also joint and muscle pain, headache. I applied non-alcoholic solution (Dimethi....) to stop itch and prevent infection. By 2/14 better. Much better now and symptoms are minimal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-02
Dose 2 — Moderna
2021-03-02
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Joint pains

Adult check-in
2021-03-09
Health check-in — day 7, dose 2
Feeling: Good · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 28, dose 2
MedDRA: Headache, Lethargy — Feeling: Good

Free text: Lethargy, very mild headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-13
Survey response — day 42, dose 2
MedDRA: Arthralgia, Rash, Rash pruritic — Feeling: Good

Free text: Itchy rash has gradually returned - left arm and random parts of body; no redness, no swelling. No fever, no temp. Joints ache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Joint pains

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · Joint pains

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-18
Dose 4 — Moderna
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling, Itching · Joint pains

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-04-25
Survey response — day 7, dose 4
MedDRA: Peripheral swelling — Feeling: Good · Site: Swelling, Itching

Free text: Swelling is apparent only on massage of upper arm.

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-18
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-27
Dose 5 — Moderna
2022-10-28
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Swelling, Itching · Joint pains

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · Joint pains

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-11-03
Health check-in — day 7, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-11-10
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-24
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-01
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-08
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-28
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-27
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-02	Moderna
3	2021-11-01	Moderna	No
4	2022-04-18	Moderna	No
5	2022-10-27	Moderna	No

Free text

Release 4 — day 14, dose 1

2021-02-17

Symptoms: 2/11- inj. site began itching badly with swelling, redness, pain. Also joint and muscle pain, headache. I applied non-alcoholic solution (Dimethi....) to stop itch and prevent infection. By 2/14 better. Much better now and symptoms are minimal.

Release 6 — day 28, dose 2

2021-03-30

Symptoms: Lethargy, very mild headache

Release 7 — day 42, dose 2

2021-04-13

Symptoms: Itchy rash has gradually returned - left arm and random parts of body; no redness, no swelling. No fever, no temp. Joints ache.

Release 11 — day 7, dose 4

2022-04-25

Systemic reaction (other): Swelling is apparent only on massage of upper arm.

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	Headache	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Rash	✓	·	✓
SD	Rash pruritic	✓	✓	✓
SRO	Peripheral swelling	·	·	✓

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