2AG-42792-34714

2 vaccinations 8 coded responses 18 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 773 / TX
Registered: 2021-01-15

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

2021-01-07
Dose 1 — Moderna
2021-01-15
Registered in v-safe
2021-01-15
Survey response — day 7, dose 1
MedDRA: Fatigue, Injection site pruritus, Injection site reaction, Urticaria — Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Free text: Mild to moderate a Chinese Jan. 9 . Except fatigue, no other symptoms until today at injection site where an itch appeared then welt was felt. 30 mins later welt turned red and remains so hours later. There had been no appearance on injection site until today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Arthralgia, Diarrhoea, Feeling abnormal — Feeling: Good · Be unable to do your normal daily activities

Free text: Jan. 14:Experienced abdominal cramping and emptied bowels completely over course of about 4 hours and felt poorly the rest of day curtailing activities. Unknown if related to vaccine. Major joints feeling achey since then.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Nausea

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Good · Site: Pain, Swelling · Headache

Free text: I realized my arm was very swollen yesterday but realized it after checking in yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site discomfort — Feeling: Good

Free text: I only feel slight discomfort in injection sight if leaning on it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Survey response — day 7, dose 2
MedDRA: Nausea — Feeling: Good · Nausea

Free text: Nausea only lasted 20-30 minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 14, dose 2
MedDRA: Fatigue, Pruritus, Scab — Feeling: Good

Free text: Itchy injection arm and upper back since last contact but diminishing with each day since. Little tiny scabs formed following scratching. Very mild fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Experienced diarrhea and intermittent abdominal cramping two nights ago for a few hours. It emptied my system. Fine since then and prior to that time period.

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

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 42, dose 2
MedDRA: Injection site pain, Pruritus, Rash — Feeling: Good

Free text: Ive had some skin breakout not like pimples that can be slightly itchy sometimes.Also noticing some tenderness at vaccine site when sleeping on it which is rare.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna

Free text

Release 2 — day 7, dose 1

2021-01-15

Systemic reaction (other): Mild to moderate a Chinese Jan. 9 . Except fatigue, no other symptoms until today at injection site where an itch appeared then welt was felt. 30 mins later welt turned red and remains so hours later. There had been no appearance on injection site until today.

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Jan. 14:Experienced abdominal cramping and emptied bowels completely over course of about 4 hours and felt poorly the rest of day curtailing activities. Unknown if related to vaccine. Major joints feeling achey since then.

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): I realized my arm was very swollen yesterday but realized it after checking in yesterday

2021-02-09

Systemic reaction (other): I only feel slight discomfort in injection sight if leaning on it.

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Nausea only lasted 20-30 minutes

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Itchy injection arm and upper back since last contact but diminishing with each day since. Little tiny scabs formed following scratching. Very mild fatigue.

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Experienced diarrhea and intermittent abdominal cramping two nights ago for a few hours. It emptied my system. Fine since then and prior to that time period.

Release 5 — day 42, dose 2

2021-03-19

Symptoms: Ive had some skin breakout not like pimples that can be slightly itchy sometimes.Also noticing some tenderness at vaccine site when sleeping on it which is rare.

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	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Scab	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site discomfort	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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