34X-29915-53929

4 vaccinations 8 coded responses 51 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 028 / RI
Registered: 2021-01-04

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Moderna
2021-01-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Survey response — day 14, dose 1
MedDRA: Injection site discharge, Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Day 8 had itching, raised and spreading redness, at injection site. PCP said because I had some leakage from injection it wasnt placed deeply enough in the muscle and this was a reaction. Required topical RX, ice, and double antihistamine for 2 da

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-01
Dose 2 — Moderna
2021-02-01
Survey response — day 0, dose 2
MedDRA: Flushing — Feeling: Good · Site: Pain

Free text: Flushed face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Have shivered for four hours and couldnt sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site cellulitis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Be unable to do your normal daily activities

Free text: Cellulitis has developed at injection site. Spreading downward and some to the side. Taking doxycycline.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Site: Pain, Redness

Free text: A rash (similar to cellulitis appearance) developed yesterday and has spread since yesterday. Being treated with doxycycline as I have previously developed cellulitis after tick bites and seem to be prone to it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Cellulitis, Rash macular — Feeling: Good · Site: Redness, Swelling

Free text: Large patch of blotchy red in injection arm. Taking doxycycline in case it is cellulitis.

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: Good · Site: Redness · None

Adult check-in
2021-02-08
Survey response — day 7, dose 2
MedDRA: Rash — Feeling: Good

Free text: Large red patch previously reported is now only very faint. Can barely see it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-18
Call 1 — Left Voicemail
2021-03-18
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-27
Dose 3 — Moderna
2021-11-27
Survey response — day 0, dose 3
MedDRA: Unevaluable event — Feeling: Good

Free text: I only received booster about two hours ago.

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-12-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-25
Dose 4 — Moderna
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-05-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-05-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · None

Adult check-in
2022-06-01
Health check-in — day 7, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-06-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-23
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-25
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-01	Moderna
3	2021-11-27	Moderna	No
4	2022-05-25	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-18

Symptoms: Day 8 had itching, raised and spreading redness, at injection site. PCP said because I had some leakage from injection it wasnt placed deeply enough in the muscle and this was a reaction. Required topical RX, ice, and double antihistamine for 2 da

Release 3 — day 0, dose 2

2021-02-01

Systemic reaction (other): Flushed face

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Have shivered for four hours and couldnt sleep.

2021-02-04

Systemic reaction (other): Cellulitis has developed at injection site. Spreading downward and some to the side. Taking doxycycline.

2021-02-05

Systemic reaction (other): A rash (similar to cellulitis appearance) developed yesterday and has spread since yesterday. Being treated with doxycycline as I have previously developed cellulitis after tick bites and seem to be prone to it.

2021-02-06

Systemic reaction (other): Large patch of blotchy red in injection arm. Taking doxycycline in case it is cellulitis.

Release 3 — day 7, dose 2

2021-02-08

Systemic reaction (other): Large red patch previously reported is now only very faint. Can barely see it.

Release 10 — day 0, dose 3

2021-11-27

Systemic reaction (other): I only received booster about two hours ago.

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	Injection site discharge	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SRO	Cellulitis	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Injection site cellulitis	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash macular	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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