276-19805-08011

2 vaccinations 9 coded responses 12 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 282 / NC
Registered: 2021-03-19

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-01
Dose 1 — Moderna
2021-03-19
Registered in v-safe
2021-03-19
Survey response — day 14, dose 1
MedDRA: Injection site bruising, Injection site pain, Injection site rash, Injection site swelling, Nodule, Rash pruritic — Feeling: Good

Free text: March 9-12th I developed an extremely itchy rash on my arm around & below my injection site. Slightly swollen with a bruising appearance, painful when touched. Rash is slowly clearing & bruising not as dark. Knot underneath armpit that's not as sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-29
Dose 2 — Moderna
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass — Feeling: Fair · Site: Pain, Redness, Swelling, Itching

Free text: I feel a small knot underneath in my armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Rash — Feeling: Fair · Site: Redness, Swelling · Rash, not including the immediate area around the injection site

Free text: Rash underneath(in the armpit) along with what feels like a small lump

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Free text: Mild rash in arm pit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 2
MedDRA: Nodule — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Free text: Very small knot indide armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-19
Survey response — day 21, dose 2
MedDRA: Contusion, Oedema peripheral — Feeling: Good

Free text: It has now been 5 weeks and the bruise on my arm below area of vaccination is still there. Swollen area in arm pit (lymph node?) is still there but not as uncomfortable as past weeks. Waiting on return phn call from my doctor re: concerns

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — day 28, dose 2
MedDRA: Contusion, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still a slightly bruised arm · Healthcare visit (other): Office visit with primary care on April 22nd because the bruising has now been there for 5 weeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Survey response — day 42, dose 2
MedDRA: Injection site bruising

Free text: Light bruising still near injection site on arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 42, dose 2
MedDRA: Injection site bruising — Feeling: Good

Free text: Light bruising still near injection site on arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-03
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-03-29	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-19

Symptoms: March 9-12th I developed an extremely itchy rash on my arm around & below my injection site. Slightly swollen with a bruising appearance, painful when touched. Rash is slowly clearing & bruising not as dark. Knot underneath armpit that's not as sore cut off by CDC

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): I feel a small knot underneath in my armpit

2021-04-01

Systemic reaction (other): Rash underneath(in the armpit) along with what feels like a small lump

2021-04-03

Systemic reaction (other): Mild rash in arm pit

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): Very small knot indide armpit

Release 7 — day 21, dose 2

2021-04-19

Symptoms: It has now been 5 weeks and the bruise on my arm below area of vaccination is still there. Swollen area in arm pit (lymph node?) is still there but not as uncomfortable as past weeks. Waiting on return phn call from my doctor re: concerns

Release 8 — day 28, dose 2

2021-05-02

Symptoms: Still a slightly bruised arm

Healthcare visit (other): Office visit with primary care on April 22nd because the bruising has now been there for 5 weeks

Release 8 — day 42, dose 2

2021-05-11

Symptoms: Light bruising still near injection site on arm

2021-05-11

Symptoms: Light bruising still near injection site on 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
HCVO	Contusion	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Injection site bruising	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Nodule	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SRO	Axillary mass	✓	✓	✓
SRO	Nodule	✓	✓	✓
SRO	Rash	✓	✓	✓

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