2FJ-43516-75366

2 vaccinations 7 coded responses 14 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 597 / MT
Registered: 2021-07-20

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

2021-07-17
Dose 1 — Moderna
2021-07-20
Registered in v-safe
2021-07-22
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Swelling, Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Mild swelling and redness · Healthcare visit (other): I will be seeing a dermatologist on 7/23

MedDRA releases: 2024-11 · check-in free text available
2021-07-22
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-23
Survey response — days 1–6 daily, dose 1
MedDRA: Office visit — Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Dermatologist

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-25
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-07-29
Call 1 — Left Voicemail
2021-07-31
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site rash, Injection site warmth, Pain in extremity, Peripheral swelling, Rash — Feeling: Fair

Free text: Worsening rash at injection site, arm swelling, warm to the touch at injection site. Increased redness with halo type effect around site. Arm soreness. Rash on hips, side of buttocks, under arms, under breasts

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Survey response — day 21, dose 1
MedDRA: Rash — Feeling: Good

Free text: Rash on hips, thighs, buttocks, under arms

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Dose 2 — Moderna
2021-08-14
Health check-in — day 0, dose 2
Feeling: Fair · Site: Itching · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-08-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-08-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-08-20
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Depression, Pre-existing disease — Feeling: Fair · Site: Itching

Free text: Severe anxiety and depression I havent been effected by in many years

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Nausea

Adult check-in
2021-08-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-09-06
Survey response — day 21, dose 2
MedDRA: Cough — Feeling: Fair

Free text: A persistent cough

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-11
Survey response — day 28, dose 2
MedDRA: Cough, Ear pain, Ear pruritus, Fatigue, Nasal pruritus, Pulmonary pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Pain in right lung, dry cough, itchy nose, itchy and painful right ear. Tired. · Healthcare visit (other): Appointment made to get Covid test

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

1 call case(s)
2021-09-14
Call 1 — Left Voicemail
2021-09-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-17	Moderna	No
2	2021-08-14	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-22

Systemic reaction (other): Mild swelling and redness

Healthcare visit (other): I will be seeing a dermatologist on 7/23

2021-07-23

Healthcare visit (other): Dermatologist

Release 9 — day 14, dose 1

2021-07-31

Symptoms: Worsening rash at injection site, arm swelling, warm to the touch at injection site. Increased redness with halo type effect around site. Arm soreness. Rash on hips, side of buttocks, under arms, under breasts

Release 9 — day 21, dose 1

2021-08-07

Symptoms: Rash on hips, thighs, buttocks, under arms

Release 9 — days 1–6 daily, dose 2

2021-08-20

Systemic reaction (other): Severe anxiety and depression I havent been effected by in many years

Release 9 — day 21, dose 2

2021-09-06

Symptoms: A persistent cough

Release 9 — day 28, dose 2

2021-09-11

Symptoms: Pain in right lung, dry cough, itchy nose, itchy and painful right ear. Tired.

Healthcare visit (other): Appointment made to get Covid test

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	Office visit	✓	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Cough	✓	·	✓
SD	Ear pain	·	·	✓
SD	Ear pruritus	·	·	✓
SD	Fatigue	·	·	✓
SD	Injection site erythema	✓	·	✓
SD	Injection site rash	✓	·	✓
SD	Injection site warmth	✓	·	✓
SD	Nasal pruritus	·	·	✓
SD	Pain in extremity	✓	·	✓
SD	Peripheral swelling	✓	·	✓
SD	Pulmonary pain	·	·	✓
SD	Rash	✓	·	✓
SRO	Anxiety	✓	·	✓
SRO	Depression	✓	·	✓
SRO	Erythema	·	·	✓
SRO	Pre-existing disease	✓	·	✓
SRO	Swelling	·	·	✓

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