2NZ-26209-60636

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 945 / CA
Registered: 2021-02-02

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-02
Registered in v-safe
2021-02-02
Dose 1 — Moderna
2021-02-02
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot — Feeling: Fair · Site: Pain, Itching · Fever · Fatigue or tiredness

Free text: Feeling warm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-02-16
Survey response — day 14, dose 1
MedDRA: Pre-existing disease, Rash, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: A rash on my lower left leg that has lymphoedema. Not sure if this has anything to do with the vaccine, · Healthcare visit (other): Ultrasound

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-02
Dose 2 — Moderna
2021-03-02
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: The lake that has Lymphoedema in it has the rash again so it must be due to the Covid vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphoedema, Rash — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: The rash is back on the leg w Lymphoedema

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The rash on my leg with Lymphoedema its a little more pronounced today than the day I received injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphoedema, Rash — Feeling: Fair · Fatigue or tiredness

Free text: The rash on the leg that has Lymphoedema

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rash still on leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-04
Call 1 — Left Voicemail
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Moderna
2	2021-03-02	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 3 — days 1–6 daily, dose 1

2021-02-08

Systemic reaction (other): Feeling warm

Release 4 — day 14, dose 1

2021-02-16

Symptoms: A rash on my lower left leg that has lymphoedema. Not sure if this has anything to do with the vaccine,

Healthcare visit (other): Ultrasound

Release 4 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): The lake that has Lymphoedema in it has the rash again so it must be due to the Covid vaccine

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): The rash is back on the leg w Lymphoedema

2021-03-05

Systemic reaction (other): The rash on my leg with Lymphoedema its a little more pronounced today than the day I received injection

2021-03-07

Systemic reaction (other): The rash on the leg that has Lymphoedema

2021-03-08

Systemic reaction (other): Rash still on leg

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	Unevaluable event	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Lymphoedema	✓	✓	✓
SRO	Rash	✓	✓	✓

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