2XF-15351-46892

2 vaccinations 4 coded responses 18 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 438 / OH
Registered: 2021-02-15

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

2021-02-04
Dose 1 — Moderna
2021-02-15
Registered in v-safe
2021-02-15
Survey response — day 7, dose 1
MedDRA: Emergency care, Rash, Rash erythematous, Rash papular, Self-medication, Swelling — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): After 8 days feb 12, delayed allergic reaction, large raised rash, also my shoulders and neck felt swelled. Took Benadryl. Went to Emergency rm. gave me steroids and Pepcid. Was better next day · Healthcare visit (other): On day 8, had delayed allergic reaction. To Moderna. Rash plu redness bump appeared, my shoulders and back of neck swelled. Took Benadryl went to ER. They gave me steroids and Pepcid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Joint swelling, Swelling — Feeling: Fair · Site: Redness, Swelling · Muscle or body aches · Be unable to work

Free text: I felt like swelled in shoulders. Back of neck

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: Adverse reaction, Emergency care, Injection site erythema, Injection site rash, Skin warm, Swelling — Feeling: Fair · Site: Redness, Swelling · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Delayed reaction. Back into neck andside of neck swelled. Plus rash all over area. The shot area not alot of redness but in lower neck back area a hot spot appeared size of soft ball. Usually found around shot area. Had to go to emergency room. They said Adverse reaction. · Healthcare visit (other): Swelling. My shoulders. Back .neck. IVPort gave me Bendryl and pepcid. The hot spot usually found around shot area was inlower neck.back. my back was really swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-11
Survey response — day 7, dose 2
MedDRA: Self-medication — Feeling: Fair · Site: Redness, Swelling · Rash, not including the immediate area around the injection site

Free text: On Benadryl and pepcid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in
2021-08-03
Call 1 — Left Voicemail
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-15

Systemic reaction (other): After 8 days feb 12, delayed allergic reaction, large raised rash, also my shoulders and neck felt swelled. Took Benadryl. Went to Emergency rm. gave me steroids and Pepcid. Was better next day

Healthcare visit (other): On day 8, had delayed allergic reaction. To Moderna. Rash plu redness bump appeared, my shoulders and back of neck swelled. Took Benadryl went to ER. They gave me steroids and Pepcid.

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): I felt like swelled in shoulders. Back of neck

2021-03-08

Systemic reaction (other): Delayed reaction. Back into neck andside of neck swelled. Plus rash all over area. The shot area not alot of redness but in lower neck back area a hot spot appeared size of soft ball. Usually found around shot area. Had to go to emergency room. They said Adverse reaction.

Healthcare visit (other): Swelling. My shoulders. Back .neck. IVPort gave me Bendryl and pepcid. The hot spot usually found around shot area was inlower neck.back. my back was really swollen.

Release 5 — day 7, dose 2

2021-03-11

Systemic reaction (other): On Benadryl and pepcid

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	Emergency care	✓	✓	✓
HCVO	Rash	✓	✓	✓
HCVO	Rash erythematous	✓	✓	✓
HCVO	Self-medication	✓	✓	✓
HCVO	Skin warm	✓	✓	✓
HCVO	Swelling	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Rash papular	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Swelling	✓	✓	✓

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