2JA-55380-59644

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 773 / TX
Registered: 2021-03-16

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site rash — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches

Free text: Rash around the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — day 7, dose 1
MedDRA: Injection site pruritus, Injection site rash, Injection site swelling — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness

Free text: I woke up with swelling and a rash at the injection site and the ITCHING is uncomfortable! The rash is getting larger around the injection site! Need something for relief please!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 14, dose 1
MedDRA: Office visit, Pruritus, Rash, Swelling — Feeling: Good · Be unable to work, 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: Symptoms: Lots 0f swelling, lots of rash, ITCHING Was so horrible very close to going to the emergency room. Did go to my dr. And he wrote prescription for meds. · Healthcare visit (other): My personal dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — day 7, dose 2
MedDRA: Asthenia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Feel like i have no energy!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 14, dose 2
MedDRA: Asthenia, Chills, Decreased appetite, Feeling cold — Feeling: Good · Be unable to do your normal daily activities

Free text: The 2nd shot was strange i had no energy! I was very cold my teeth were chattering had to turn on the heater i am just now feeling better my appetite is coming back this lasted too long i feel blessed i do not regret getting the shots i am blessed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — day 35, dose 2
MedDRA: Asthenia, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: I am always tired i have no energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-14
Call 1 — Left Voicemail
2022-04-20
Survey response — 12 months, dose 2
MedDRA: Office visit, Pruritus — Feeling: Good

Free text: I itch alot my arms right and left. My back in the center of my back itchs like crazy! Went to the dr. They ran lots of xrays and nothing showed up. I have appt again on the 26th this month the itching is bad.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-20	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Rash around the injection site

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): I woke up with swelling and a rash at the injection site and the ITCHING is uncomfortable! The rash is getting larger around the injection site! Need something for relief please!

Release 6 — day 14, dose 1

2021-03-30

Symptoms: Lots 0f swelling, lots of rash, ITCHING Was so horrible very close to going to the emergency room. Did go to my dr. And he wrote prescription for meds.

Healthcare visit (other): My personal dr.

Release 8 — day 7, dose 2

2021-04-27

Systemic reaction (other): Feel like i have no energy!

Release 8 — day 14, dose 2

2021-05-06

Symptoms: The 2nd shot was strange i had no energy! I was very cold my teeth were chattering had to turn on the heater i am just now feeling better my appetite is coming back this lasted too long i feel blessed i do not regret getting the shots i am blessed. cut off by CDC

Release 8 — day 35, dose 2

2021-05-25

Symptoms: I am always tired i have no energy

Release 11 — 12 months, dose 2

2022-04-20

Symptoms: I itch alot my arms right and left. My back in the center of my back itchs like crazy! Went to the dr. They ran lots of xrays and nothing showed up. I have appt again on the 26th this month the itching is bad.

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	Asthenia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓

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