2K4-28161-68042

5 vaccinations 5 coded responses 29 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 967 / HI
Registered: 2021-03-10

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-09
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Dose 2 — Moderna
2021-03-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Joint pains

Free text: Pain under the same arm received shot. Lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — day 42, dose 2
MedDRA: Body temperature increased, Chills, Fatigue, Headache, Pain, Self-medication — Feeling: Good · Be unable to do your normal daily activities

Free text: On Friday afternoon I had body aches and was very tired. By the evening I had 100 degree fever, body aches, chills and slight headache. Took Tylenol twice, rested and some up on Saturday with a headache. No fever. I was fine by Sunday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — 3 months, dose 2
MedDRA: Bell's palsy — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Diagnosed with Bells Palsy on 4/28/2021

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

1 call case(s)
2021-06-18
Call 1 — Left Voicemail
2021-09-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Dose 3 — Moderna
2022-03-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-27
Dose 4 — Moderna
2022-11-22
Dose 5 — Moderna
Co-administered: Pneumonia
2022-11-23
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-24
Survey response — days 1–6 daily, dose 5
MedDRA: Axillary mass, Vaccine positive rechallenge — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Lump under armpit of side my booster. Started yesterday, forgot to mention it. Happens every time I get the shot

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-29
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-12-06
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-12-13
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-12-20
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-27
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-01-03
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-02-21
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-05-23
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-10	Moderna
3	2021-11-08	Moderna	No
4	2022-05-27	Moderna	No
5	2022-11-22	Moderna	Pneumonia

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Pain under the same arm received shot. Lymph node

2021-03-15

Systemic reaction (other): None

Release 7 — day 42, dose 2

2021-04-22

Symptoms: On Friday afternoon I had body aches and was very tired. By the evening I had 100 degree fever, body aches, chills and slight headache. Took Tylenol twice, rested and some up on Saturday with a headache. No fever. I was fine by Sunday.

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: Diagnosed with Bells Palsy on 4/28/2021

Release 12 — days 1–6 daily, dose 5

2022-11-24

Systemic reaction (other): Lump under armpit of side my booster. Started yesterday, forgot to mention it. Happens every time I get the shot

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	Bell's palsy	✓	✓	✓
SD	Body temperature increased	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Axillary mass	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Vaccine positive rechallenge	·	·	✓

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