2J5-15740-16074

4 vaccinations 7 coded responses 43 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 019 / MA
Registered: 2021-01-06

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

2020-12-29
Dose 1 — Moderna
2021-01-06
Registered in v-safe
2021-01-06
Health check-in — day 7, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · None

Adult check-in
2021-01-12
Survey response — day 14, dose 1
MedDRA: Contusion, Injection site pain, Pain, Pruritus, Self-medication, Swelling — Feeling: Fair

Free text: Woke up severely itchy on day 7, swelled up to a tennis ball through day 8. Was sore. Have 2 bruises, one is distal from the Injection site. Had to take Tylenol & benadryl. Swelling decreased from day 8. Site is still sore 2 wks in.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-26
Dose 2 — Moderna
2021-01-26
Survey response — day 0, dose 2
MedDRA: Injection site bruising, Injection site pain, Nausea — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: My arm is still slightly bruised & sore from dose 1. After the shot & 15mins observation, had a bout of nausea when I got to my car, but it soon passed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Injection site pain, Injection site swelling, Self-medication — Feeling: Fair · Site: Swelling · Headache, Muscle or body aches

Free text: Slight headache in the morning, took Tylenol it resolved. Arm is sore & swollen at the site, took ibuprofen, getting better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: SARS-CoV-2 test — Feeling: Fair · Site: Redness, Swelling, Itching · None · Get care from a doctor or other healthcare professional

Free text: Workplace post vaccine questionnaire recommended to get Covid test due to symptoms lasting 24 hrs or more consisting of mild to moderate local site reaction. Got test this morning, waiting for results.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 2
Feeling: Fair · Site: Swelling, Itching · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-05-24
Call 1 — Left Voicemail
2021-07-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-31
Dose 3 — Moderna
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Lymph node pain, Lymphadenopathy, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching

Free text: Pain and swelling beyond the injection site tha includes the axillary/lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · None

Adult check-in
2021-11-07
Health check-in — day 7, dose 3
Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

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

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

Adult check-in
2021-11-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 35, dose 3
Feeling: Good

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

Adult check-in
2022-01-30
Survey response — 3 months, dose 3
MedDRA: Respiratory tract congestion — Feeling: Fair

Free text: Congestion probably from being out in cold temperatures due to a blizzard.

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Survey response — 6 months, dose 3
MedDRA: Chills, Cough, Dyspnoea, Influenza virus test negative, Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Developed persistent congestive cough, low grade fever, chills, body aches, shortness of breath, sneezing, runny nose for over 1 wk. Tested for Covid & Flu, was negative. Also had a negative chest Xray. Thought it was URI. Seeing my PCP today.

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-03
Call successful
Does not wish to fill out VAERS report
2022-12-28
Dose 4 — Moderna
2022-12-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2022-12-31
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2023-01-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2023-01-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2023-01-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2023-01-04
Health check-in — day 7, dose 4
Feeling: Fair · Site: Swelling · None

Adult check-in
2023-01-11
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2023-01-18
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-01-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-02-01
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-02-08
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-03-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-06-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-26	Moderna
3	2021-10-31	Moderna	No
4	2022-12-28	Moderna	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-12

Symptoms: Woke up severely itchy on day 7, swelled up to a tennis ball through day 8. Was sore. Have 2 bruises, one is distal from the Injection site. Had to take Tylenol & benadryl. Swelling decreased from day 8. Site is still sore 2 wks in.

Release 2 — day 0, dose 2

2021-01-26

Systemic reaction (other): My arm is still slightly bruised & sore from dose 1. After the shot & 15mins observation, had a bout of nausea when I got to my car, but it soon passed.

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Slight headache in the morning, took Tylenol it resolved. Arm is sore & swollen at the site, took ibuprofen, getting better.

Release 3 — days 1–6 daily, dose 2

2021-01-29

Healthcare visit (other): Workplace post vaccine questionnaire recommended to get Covid test due to symptoms lasting 24 hrs or more consisting of mild to moderate local site reaction. Got test this morning, waiting for results.

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Pain and swelling beyond the injection site tha includes the axillary/lymph nodes

Release 11 — 3 months, dose 3

2022-01-30

Symptoms: Congestion probably from being out in cold temperatures due to a blizzard.

Release 11 — 6 months, dose 3

2022-05-02

Symptoms: Developed persistent congestive cough, low grade fever, chills, body aches, shortness of breath, sneezing, runny nose for over 1 wk. Tested for Covid & Flu, was negative. Also had a negative chest Xray. Thought it was URI. Seeing my PCP today.

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	SARS-CoV-2 test	✓	✓	✓
SD	Chills	·	·	✓
SD	Contusion	✓	✓	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Injection site bruising	○	○	○
SD	Injection site pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Sneezing	·	·	✓
SD	Swelling	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Oedema peripheral	·	·	✓
SRO	Self-medication	✓	✓	✓

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