2PU-22502-92911

5 vaccinations 13 coded responses 33 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 373 / TN
Registered: 2021-04-07

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Moderna
2021-04-07
Survey response — day 0, dose 1
MedDRA: Pain in extremity, Pruritus — Feeling: Fair · Site: Pain

Free text: Pain in hand of the arm I got vaccine in. Also, itching over face, neck, arm, and lower body area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Itching like I get before I break out with hives before some prescription drug medicine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Itching on necks and hand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Self-medication — Feeling: Good · Site: Pain

Free text: Still itching and still using Benadryl.

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

Free text: Im still itching on my arms and face around my eyes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 1
MedDRA: Pruritus, Self-medication — Feeling: Good · Site: Pain

Free text: I am still ITCHING all over my face and my arm and still taking Benadryl.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-18
Dose 2 — Moderna
2021-05-18
Survey response — day 0, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itching all over my body right after I got the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia, Neuralgia — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Muscle/nerve in food hurt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site haemorrhage, Pain in extremity, Peripheral swelling — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: When I got the vaccine and the needle was removed it started to bleed a lot. My arm is still very painful and very sore, and swollen too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 7, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Itching · Be unable to do your normal daily activities

Free text: Arm is still sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-15
Survey response — day 28, dose 2
MedDRA: Pain in extremity, Pruritus — Feeling: Fair

Free text: My arm is still very sore and it itches sometimes.?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-22
Dose 3 — Moderna
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · None · Be unable to do your normal daily activities

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-12-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-23
Dose 4 — Moderna
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-30
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-09
Survey response — day 14, dose 4
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: My ARM is still hurting and it's very painfulit's never hurt this long before.

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-21
Survey response — day 28, dose 4
MedDRA: Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in the injection site weeks after the booster.

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-30
Dose 5 — Moderna
2022-11-15
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-18	Moderna
3	2021-11-22	Moderna	No
4	2022-04-23	Moderna	No
5	2022-09-30	Moderna	No

Free text

Release 7 — day 0, dose 1

2021-04-07

Systemic reaction (other): Pain in hand of the arm I got vaccine in. Also, itching over face, neck, arm, and lower body area.

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Itching like I get before I break out with hives before some prescription drug medicine.

2021-04-09

Systemic reaction (other): Itching on necks and hand

2021-04-10

Systemic reaction (other): Still itching and still using Benadryl.

2021-04-11

Systemic reaction (other): Im still itching on my arms and face around my eyes.

Release 7 — day 7, dose 1

2021-04-14

Systemic reaction (other): I am still ITCHING all over my face and my arm and still taking Benadryl.

Release 8 — day 0, dose 2

2021-05-18

Systemic reaction (other): Itching all over my body right after I got the shot.

Release 8 — days 1–6 daily, dose 2

2021-05-20

Systemic reaction (other): Muscle/nerve in food hurt.

2021-05-23

Systemic reaction (other): When I got the vaccine and the needle was removed it started to bleed a lot. My arm is still very painful and very sore, and swollen too.

Release 8 — day 7, dose 2

2021-05-25

Systemic reaction (other): Arm is still sore.

Release 9 — day 28, dose 2

2021-06-15

Symptoms: My arm is still very sore and it itches sometimes.?

Release 11 — day 14, dose 4

2022-05-09

Symptoms: My ARM is still hurting and it's very painfulit's never hurt this long before.

Release 11 — day 28, dose 4

2022-05-21

Symptoms: Pain in the injection site weeks after the booster.

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	Injection site pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pruritus	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Injection site haemorrhage	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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