23F-31501-34701

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 959 / CA
Registered: 2021-02-02

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-02
Registered in v-safe
2021-02-03
Dose 1 — Moderna
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Pain in extremity — Feeling: Good

Free text: My left arm is getting hot, very hot off and on from my elbow to my wrist maybe for just a few seconds at a time maybe three or four times a day. My arm is a little sore but its not bad the only thing is I cant lay on it thats it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot — Feeling: Good · Site: Pain, Swelling

Free text: Shot left arm. Heat in left forearm/off and on-30 seconds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site reaction — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Minor re both marked. Better each day. Never marked muscle before. That relates to shot area

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: Unevaluable event — Feeling: Good · Muscle or body aches

Free text: Much, much less discomfort. No hot forearm today.?

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: Good · None

Adult check-in
2021-02-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 21, dose 1
MedDRA: Constipation, Gastrointestinal tract irritation, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches (never have them)GI issues (not sure if related) Severe constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Dose 2 — Moderna
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No. If my grandson is immune compromised with eyelid and kidney transplant do I get to see him after my shots?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Survey response — 3 months, dose 2
MedDRA: Gastrointestinal disorder, Nervous system disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Nervous system was affected by the shut motility issues and G.I.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-09
Call 1 — Left Voicemail
2021-08-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-02
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

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

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): My left arm is getting hot, very hot off and on from my elbow to my wrist maybe for just a few seconds at a time maybe three or four times a day. My arm is a little sore but its not bad the only thing is I cant lay on it thats it

2021-02-06

Systemic reaction (other): Shot left arm. Heat in left forearm/off and on-30 seconds

2021-02-07

Systemic reaction (other): Minor re both marked. Better each day. Never marked muscle before. That relates to shot area

2021-02-08

Systemic reaction (other): Much, much less discomfort. No hot forearm today.?

Release 4 — day 21, dose 1

2021-02-24

Symptoms: Headaches (never have them)GI issues (not sure if related) Severe constipation

Release 5 — day 7, dose 2

2021-03-09

Systemic reaction (other): No. If my grandson is immune compromised with eyelid and kidney transplant do I get to see him after my shots?

Release 8 — 3 months, dose 2

2021-06-01

Symptoms: Nervous system was affected by the shut motility issues and G.I.

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	Constipation	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Gastrointestinal tract irritation	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nervous system disorder	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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