2UM-11375-29620

2 vaccinations 6 coded responses 20 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 029 / RI
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Survey response — day 7, dose 1
MedDRA: Cellulitis, Injection site cellulitis, Office visit — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Cellulitis at injection site · Healthcare visit (other): Seen in dr office for cellulitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-15
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-22
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Body temperature increased, Fatigue, Impaired work ability, Myalgia, Pain, Paraesthesia, Paraesthesia oral, Self-medication, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Tingling of lips and face. Last night had temp 102-103 despite taking Tylenol and ibprophen. Today temp is 99-101. Could not work today. Tried to call doctor but couldnt get through. Extreme fatigue, muscle aches, joint pain. Entire body hurts · Healthcare visit (other): Am still trying to call my dr but havent gotten through to any staff yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit, Rash — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Rash on entire arm and both legs mainly on anterior thighs. Started yesterday evening. Very hot, itchy · Healthcare visit (other): Phone call to pcp who instructed me to come in for eval or take Benadryl which I had been taking since yesterday evening. Instructed me to take it at bedtime, call back if it doesnt improve.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Rash is now covering my entire body including face. Very uncomfortable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Skin exfoliation — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash on legs is improving but skin is peeling. Rash on face, chest, arms is almost gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Skin exfoliation — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Skin is still peeling from rash.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Call 1 — Left Voicemail
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-02-02	Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 7, dose 1

2021-01-08

Systemic reaction (other): Cellulitis at injection site

Healthcare visit (other): Seen in dr office for cellulitis

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Tingling of lips and face. Last night had temp 102-103 despite taking Tylenol and ibprophen. Today temp is 99-101. Could not work today. Tried to call doctor but couldnt get through. Extreme fatigue, muscle aches, joint pain. Entire body hurts

Healthcare visit (other): Am still trying to call my dr but havent gotten through to any staff yet.

2021-02-05

Systemic reaction (other): Rash on entire arm and both legs mainly on anterior thighs. Started yesterday evening. Very hot, itchy

Healthcare visit (other): Phone call to pcp who instructed me to come in for eval or take Benadryl which I had been taking since yesterday evening. Instructed me to take it at bedtime, call back if it doesnt improve.

2021-02-06

Systemic reaction (other): Rash is now covering my entire body including face. Very uncomfortable.

2021-02-07

Systemic reaction (other): Rash on legs is improving but skin is peeling. Rash on face, chest, arms is almost gone.

2021-02-08

Systemic reaction (other): Skin is still peeling from rash.

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	Cellulitis	✓	✓	✓
HCVO	Medical counselling	○	○	○
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Injection site cellulitis	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Skin exfoliation	✓	✓	✓

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