2G7-91414-47631

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

Sex: Female
Age at first dose: 66+
ZIP prefix: 836 / ID
Registered: 2021-02-07

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

2021-02-06
Dose 1 — Moderna
2021-02-07
Registered in v-safe
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

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

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Survey response — day 14, dose 1
MedDRA: Erythema, Pruritus, Rash, Rash erythematous, Self-medication, Tenderness — Feeling: Good

Free text: On Day 9 my arm got very red, extremely itchy, and tender to the touch. This rash/redness covered most of the top of my arm, inward, about 3.5 inches in length. Benadryl and topical creams helped for short periods. The rash started fading yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 21, dose 1
MedDRA: Arthritis, Dizziness, Headache, SARS-CoV-2 test negative, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness, vomiting, headache. I was started on Voltaren for arthritis and symptoms started after just 5 doses, so it may be the culprit. I had a negative covid test.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Dose 2 — Moderna
2021-03-06
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-10
Survey response — day 35, dose 2
MedDRA: SARS-CoV-2 test negative, Sialoadenitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Infection of the parotid gland. Covid test was negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-06
Survey response — 3 months, dose 2
MedDRA: Blood test abnormal, Office visit, Renal impairment — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My blood work shows I am having problems with my kidney function. Last July, it was normal. My doctor is hopeful this is caused by a new medicine I started in December, so she took me off it to see if my kidney function improves.

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

1 call case(s)
2021-08-16
Call 1 — Left Voicemail
2021-08-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2022-03-06
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-23
Dose 4 — Moderna
2022-09-24
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-24
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-06	Moderna
3	2021-10-29	Moderna	No
4	2022-09-23	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-20

Symptoms: On Day 9 my arm got very red, extremely itchy, and tender to the touch. This rash/redness covered most of the top of my arm, inward, about 3.5 inches in length. Benadryl and topical creams helped for short periods. The rash started fading yesterday. cut off by CDC

Release 4 — day 21, dose 1

2021-02-27

Symptoms: Dizziness, vomiting, headache. I was started on Voltaren for arthritis and symptoms started after just 5 doses, so it may be the culprit. I had a negative covid test.

Release 7 — day 35, dose 2

2021-04-10

Symptoms: Infection of the parotid gland. Covid test was negative.

Release 8 — 3 months, dose 2

2021-06-06

Symptoms: My blood work shows I am having problems with my kidney function. Last July, it was normal. My doctor is hopeful this is caused by a new medicine I started in December, so she took me off it to see if my kidney function improves.

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	Arthritis	✓	✓	✓
SD	Blood test abnormal	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Renal impairment	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Sialoadenitis	✓	✓	✓
SD	Tenderness	✓	✓	✓
SD	Vomiting	✓	✓	✓

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