366-26696-92222

2 vaccinations 11 coded responses 17 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 064 / CT
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Immediate post-injection reaction, Peripheral swelling — Feeling: Good

Free text: Numbness left pinky and ring finger- swelling pinky - started approx 45 minutes up 1 hour after injection left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling — Feeling: Good · Site: Swelling

Free text: Left pinky and ring finger slight swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Joint swelling, Peripheral swelling — Feeling: Good · Site: Swelling

Free text: Swelling is left hand still and new on Sunday right knee

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — day 7, dose 1
MedDRA: Rash — Feeling: Good · Site: Itching

Free text: I doubt its related but I have a small rash on my right breast/areola - that has ever happened before to me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Survey response — day 21, dose 1
MedDRA: Arthralgia, Breast discomfort, Muscle spasms, Pruritus, Rash — Feeling: Fair · Be unable to work

Free text: Right knee pain; right lower back spasm right breast itchy (rash on areola a week after)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Dose 2 — Moderna
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Numbness left pinky, ring finger and middle finger

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Survey response — day 7, dose 2
MedDRA: Muscle spasms, Muscle tightness, Swelling — Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Right sided swelling and muscle tightness /spasm in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 14, dose 2
MedDRA: Chills, Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraine & chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 21, dose 2
MedDRA: Immunisation reaction, Nipple disorder, Rash, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ruling out nipple rash vs pagets disease of nipple - started 1 week after 1st vaccine- area had gotten bigger and now a small spot on left breast too · Healthcare visit (other): GYN

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — day 28, dose 2
MedDRA: Breast pain, Breast swelling — Feeling: Fair

Free text: Left breast sore and very painful due to swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — day 35, dose 2
MedDRA: Office visit, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Waiting to see surgeon re changers in my nipple that started 1 week post vaccine · Healthcare visit (other): Follow up with GYN

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-12	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Numbness left pinky and ring finger- swelling pinky - started approx 45 minutes up 1 hour after injection left arm

2021-01-16

Systemic reaction (other): Left pinky and ring finger slight swelling

2021-01-18

Systemic reaction (other): Swelling is left hand still and new on Sunday right knee

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): I doubt its related but I have a small rash on my right breast/areola - that has ever happened before to me

Release 3 — day 21, dose 1

2021-02-05

Symptoms: Right knee pain; right lower back spasm right breast itchy (rash on areola a week after)

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Numbness left pinky, ring finger and middle finger

Release 4 — day 7, dose 2

2021-02-19

Systemic reaction (other): Right sided swelling and muscle tightness /spasm in neck

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Migraine & chills

Release 5 — day 21, dose 2

2021-03-05

Symptoms: Ruling out nipple rash vs pagets disease of nipple - started 1 week after 1st vaccine- area had gotten bigger and now a small spot on left breast too

Healthcare visit (other): GYN

Release 5 — day 28, dose 2

2021-03-12

Symptoms: Left breast sore and very painful due to swelling

Release 6 — day 35, dose 2

2021-03-21

Symptoms: Waiting to see surgeon re changers in my nipple that started 1 week post vaccine

Healthcare visit (other): Follow up with GYN

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	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Breast discomfort	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Breast swelling	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nipple disorder	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Swelling	✓	✓	✓

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