2S3-11080-66641

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 852 / AZ
Registered: 2021-03-13

Relationship: Self
Race: Multiracial
Ethnicity: 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

2021-02-10
Dose 1 — Moderna
2021-03-11
Dose 2 — Moderna
2021-03-13
Registered in v-safe
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Pruritus — Feeling: Good · Site: Redness

Free text: I noticed my arm was red and itchy a week after my 1st vaccine. I thought maybe it was from the bandage. After the 2nd vaccination I noticed my arm turned red again. So far it hasnt been itchy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Feeling hot — Feeling: Good · Site: Pain, Redness

Free text: The red area of my arm feels hot. (I also forgot to mention, I asked not to have a band-aid after my 2nd vaccine)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Injection site erythema, Pre-existing disease, Seasonal allergy, Self-medication — Feeling: Fair · Site: Redness

Free text: I took one Kroger allergy tablet last night to see if it would help with the redness on my arm. Today, it looks less red. I also needed to take my inhaler at 1:30 am and again at 11:30 am for my asthma. In addition, I took an Kirkland Aller-Tec for seasonal allergies. Im thinking this could be caused by the air quality but, I thought it was best for me to mention my symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Feeling hot, Hyperhidrosis, Injection site warmth, Pre-existing disease, Seasonal allergy — Feeling: Fair · Fever · Be unable to work

Free text: I took my temperature last night around 9:30 pm. It was a small fever of 99.6. When I woke up this morning I was sweaty. The redness of my arm has gone away but a little heat is this coming from the site of injection. Also, I dont know if my fever is coming from my vaccine or is it from seasonal allergies?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Rash macular, Self-medication — Feeling: Fair · Fatigue or tiredness

Free text: Today, I noticed the skin on both of my arms looked blotchy. It scared me. After I got home from work I looked at my arms again and they look normal. So, Im not sure if that was a side effect? I dont remember being cold when the blotchy skin appeared. Last night I did take 2 Kroger Allergy Tablets to help take away the redness from my left arm. That seemed to help.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 7, dose 2
MedDRA: Rash macular — Feeling: Good

Free text: The skin of both my arms looked blotchy again today. Im thinking it must be caused from the air conditioning at work. But, while Im at work I dont feel cold. Right now, Im at home and my skin looks normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-11	Moderna

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): I noticed my arm was red and itchy a week after my 1st vaccine. I thought maybe it was from the bandage. After the 2nd vaccination I noticed my arm turned red again. So far it hasnt been itchy.

2021-03-14

Systemic reaction (other): The red area of my arm feels hot. (I also forgot to mention, I asked not to have a band-aid after my 2nd vaccine)

2021-03-15

Systemic reaction (other): I took one Kroger allergy tablet last night to see if it would help with the redness on my arm. Today, it looks less red. I also needed to take my inhaler at 1:30 am and again at 11:30 am for my asthma. In addition, I took an Kirkland Aller-Tec for seasonal allergies. Im thinking this could be caused by the air quality but, I thought it was best for me to mention my symptoms.

2021-03-16

Systemic reaction (other): I took my temperature last night around 9:30 pm. It was a small fever of 99.6. When I woke up this morning I was sweaty. The redness of my arm has gone away but a little heat is this coming from the site of injection. Also, I dont know if my fever is coming from my vaccine or is it from seasonal allergies?

2021-03-17

Systemic reaction (other): Today, I noticed the skin on both of my arms looked blotchy. It scared me. After I got home from work I looked at my arms again and they look normal. So, Im not sure if that was a side effect? I dont remember being cold when the blotchy skin appeared. Last night I did take 2 Kroger Allergy Tablets to help take away the redness from my left arm. That seemed to help.

Release 5 — day 7, dose 2

2021-03-18

Systemic reaction (other): The skin of both my arms looked blotchy again today. Im thinking it must be caused from the air conditioning at work. But, while Im at work I dont feel cold. Right now, Im at home and my skin looks normal.

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
SRO	Asthma	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash macular	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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