32A-91276-75637

2 vaccinations 7 coded responses 26 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 105 / NY
Registered: 2021-01-09

Relationship: Self
Race: White
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

2021-01-09
Registered in v-safe
2021-01-09
Dose 1 — Moderna
2021-01-09
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea — Feeling: Good · Site: Pain · Nausea

Free text: Nausea could be unrelated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-23
Survey response — day 14, dose 1
MedDRA: Chills, Injection site irritation, Injection site pruritus — Feeling: Good

Free text: Had injection site irritation day 7-9: itchy and was a clear circle area at inj site. Would not call it redness or swelling- but just a clear irritated area. Also realized I might have had chills 1st day after vaccination. (Thought I was just cold)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-06
Dose 2 — Moderna
2021-02-06
Survey response — day 0, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Felt inj site pain faster with 2nd dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Rash erythematous — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: The rash is red and a little iritated. Not at inj site or around it but on the same upper arm. Not a circle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Skin discolouration, Swelling — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: Redness/sweeling from yesterday has gone down in the last 12 hours; is still discolored but not tender to the touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches

Adult check-in
2021-02-13
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-13
Survey response — day 35, dose 2
MedDRA: Injection site pain, Pruritus — Feeling: Good

Free text: Ichy skin near inj. Site Some soreness in the inj arm that comes and goes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 42, dose 2
MedDRA: Pain in extremity, Pruritus — Feeling: Good

Free text: Just still some itchiness and soreness in the arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-06
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-06	Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-10

Systemic reaction (other): Nausea could be unrelated.

Release 2 — day 14, dose 1

2021-01-23

Symptoms: Had injection site irritation day 7-9: itchy and was a clear circle area at inj site. Would not call it redness or swelling- but just a clear irritated area. Also realized I might have had chills 1st day after vaccination. (Thought I was just cold) cut off by CDC

Release 3 — day 0, dose 2

2021-02-06

Systemic reaction (other): Felt inj site pain faster with 2nd dose

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): The rash is red and a little iritated. Not at inj site or around it but on the same upper arm. Not a circle.

2021-02-09

Systemic reaction (other): Redness/sweeling from yesterday has gone down in the last 12 hours; is still discolored but not tender to the touch.

Release 5 — day 35, dose 2

2021-03-13

Symptoms: Ichy skin near inj. Site Some soreness in the inj arm that comes and goes

Release 6 — day 42, dose 2

2021-03-20

Symptoms: Just still some itchiness and soreness in the arm

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	Chills	✓	✓	✓
SD	Injection site irritation	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pruritus	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Skin discolouration	✓	✓	✓
SRO	Swelling	✓	✓	✓

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