2RE-31675-68871

4 vaccinations 7 coded responses 40 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 150 / PA
Registered: 2021-03-16

Relationship: Self
Race: White
Ethnicity: Not 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
Survey response — day 0, dose 1
MedDRA: Chest discomfort, Pre-existing disease — Feeling: Good · Headache

Free text: I have sarcoidosis and I felt some tightness in my chest regarding breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling, Itching · Headache

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Free text: The redness is about 3 away from the injection location

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 · Site: Redness · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Rash, Skin warm — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: I have researched and discovered I have Moderna arm which is a rash that develops after the shot. This spot is warm to the touch and itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 7, dose 1
MedDRA: Immunisation reaction — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: I continue to have what is called Covid arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Self-medication — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: I have taken Tylenol every 4 hrs to keep the symptoms at bay

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Survey response — day 7, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Joint pains

Free text: My left hip and upper thigh has been sore for the past couple of days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-26
Dose 3 — Moderna
2022-04-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-04
Dose 4 — Moderna
2022-06-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-04
Survey response — 12 months, dose 4
MedDRA: Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-06-04
Call case (no matching report) — Unsuccessful
2023-06-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2021-11-26	Moderna	No
4	2022-06-04	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-16

Systemic reaction (other): I have sarcoidosis and I felt some tightness in my chest regarding breathing

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): The redness is about 3 away from the injection location

2021-03-22

Systemic reaction (other): I have researched and discovered I have Moderna arm which is a rash that develops after the shot. This spot is warm to the touch and itchy

Release 6 — day 7, dose 1

2021-03-23

Systemic reaction (other): I continue to have what is called Covid arm

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): I have taken Tylenol every 4 hrs to keep the symptoms at bay

Release 7 — day 7, dose 2

2021-04-20

Systemic reaction (other): My left hip and upper thigh has been sore for the past couple of days

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	Sinusitis	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Skin warm	✓	✓	✓

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