2FP-26325-32536

4 vaccinations 10 coded responses 38 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 310 / GA
Registered: 2021-03-23

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

2021-03-15
Dose 1 — Moderna
2021-03-23
Registered in v-safe
2021-03-23
Survey response — day 7, dose 1
MedDRA: Erythema, Peripheral swelling, Pruritus, Skin warm, Tattoo associated skin reaction — Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: I have a tattoo on my arm, it is raised about two inches down from the injection point. Mildly itchy, pink, and slightly warm to the touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain in stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-12
Dose 2 — Moderna
2021-04-12
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Office visit, Pre-existing disease — 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, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I have spinal stenosis in my neck and arthritis in the whole of my spine. Even after the first shot it seems to have exasperated it. Have felt really bad! · Healthcare visit (other): Went to my Doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Lymph node pain, Pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: A little more tired than normal, but nowhere near as bad as it was. Same with the aches. My lymph node is aching under the arm pit of the arm that I had the vaccine in.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Vaccination site discomfort — Feeling: Good

Free text: I can still feel an ache where the vaccination was, but not pain.But sooooo much better!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site discomfort — Feeling: Good

Free text: I can still feel where the vaccine point was, but thats all now :-)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Arthritis, Headache, Injection site discomfort, Pre-existing disease — Feeling: Good

Free text: I can still feel injection point a tiny bit. Have had slight headaches since receiving the vaccine, but could be allergies My arthritis thats always there, seems to be a little worse, and has been since the first vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 7, dose 2
MedDRA: Arthritis, Pre-existing disease, Vaccine positive rechallenge — Feeling: Fair · Joint pains

Free text: The same as the last vaccine, seems to be aggravating arthritis ?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-07
Dose 3 — Moderna
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Site: Pain, Itching

Free text: Not at the moment :-)

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Vaccination site discomfort — Feeling: Good · Headache, Abdominal pain

Free text: I can still feel very slight discomfort where I had the vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-14
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 28, dose 3
Feeling: Good

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

Adult check-in
2021-12-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-06
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-25
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-06
Dose 4 — Moderna
2022-04-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-06
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-12	Moderna
3	2021-11-07	Moderna	No
4	2022-04-06	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-03-23

Systemic reaction (other): I have a tattoo on my arm, it is raised about two inches down from the injection point. Mildly itchy, pink, and slightly warm to the touch

Release 6 — day 14, dose 1

2021-03-29

Symptoms: Pain in stomach

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): I have spinal stenosis in my neck and arthritis in the whole of my spine. Even after the first shot it seems to have exasperated it. Have felt really bad!

Healthcare visit (other): Went to my Doctors office

2021-04-14

Systemic reaction (other): A little more tired than normal, but nowhere near as bad as it was. Same with the aches. My lymph node is aching under the arm pit of the arm that I had the vaccine in.

2021-04-15

Systemic reaction (other): I can still feel an ache where the vaccination was, but not pain.But sooooo much better!

2021-04-16

Systemic reaction (other): I can still feel where the vaccine point was, but thats all now :-)

2021-04-18

Systemic reaction (other): I can still feel injection point a tiny bit. Have had slight headaches since receiving the vaccine, but could be allergies My arthritis thats always there, seems to be a little worse, and has been since the first vaccine.

Release 7 — day 7, dose 2

2021-04-19

Systemic reaction (other): The same as the last vaccine, seems to be aggravating arthritis ?

Release 10 — days 1–6 daily, dose 3

2021-11-09

Systemic reaction (other): Not at the moment :-)

2021-11-11

Systemic reaction (other): I can still feel very slight discomfort where I had the vaccine

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	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site discomfort	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Tattoo associated skin reaction	✓	✓	✓
SRO	Vaccination site discomfort	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓

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