367-27673-67579

5 vaccinations 8 coded responses 46 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 342 / FL
Registered: 2021-01-10

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

2021-01-09
Dose 1 — Moderna
2021-01-10
Registered in v-safe
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Headache

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains

Adult check-in
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness, Itching · Joint pains

Adult check-in
2021-01-23
Survey response — day 14, dose 1
MedDRA: Erythema, Peripheral swelling, Pruritus, Skin warm — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: On the 6th day after my vaccine my arm became much more red, swollen, warm and itchy. The red, swollen area was about 4 inches by 6 inches, almost all the way around my arm. It continued to worsen until the 10th day, then began to improve.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-06
Dose 2 — Moderna
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Slight Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

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

Adult check-in
2021-02-13
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Itching · Headache

Free text: Slight dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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: Good

Adult check-in
2021-03-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-02
Call 1 — Left Voicemail
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-07
Survey response — 6 months, dose 2
MedDRA: Cough, Pre-existing disease — Feeling: Good

Free text: Slight dry cough, mostly in the mornings or when I first lie down at night, for about a month. I suspect its allergies.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-09
Dose 3 — Moderna
2022-02-06
Survey response — 12 months, dose 2
MedDRA: Arthralgia, COVID-19, Pleurisy, Sinusitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Joint pain, Pleurisy, and Sinus Infection, all occurring after I had Covid in August.

MedDRA releases: 2024-11 · check-in free text available
2022-02-06
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-09
Call 1 — Left Voicemail
2022-02-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-07-10
Dose 4 — Moderna
2022-07-10
Survey response — day 0, dose 4
MedDRA: Unevaluable event — Feeling: Good

Free text: Just had the booster 2 hours ago.

MedDRA releases: 2024-11 · check-in free text available
2022-07-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tiredness

Adult check-in
2022-07-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-07-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-07-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-07-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-07-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-07-17
Health check-in — day 7, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-07-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-31
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-13
Dose 5 — Moderna
2022-12-17
Survey response — days 1–6 daily, dose 5
MedDRA: Dizziness — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Free text: Occasional slight dizziness, possibly from not enough sleep.

MedDRA releases: 2024-11 · check-in free text available
2022-12-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-12-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-12-20
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-12-27
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2023-01-03
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2023-01-10
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2023-01-17
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-01-24
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-03-14
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-06-13
Survey response — 6 months, dose 5
MedDRA: Arthralgia, Chills, Cough, Dizziness, Malaise, Musculoskeletal stiffness, Neck pain, Oropharyngeal pain, Viral infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-06-13
Call case (no matching report) — Successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-06-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-06	Moderna
3	2021-12-09	Moderna	No
4	2022-07-10	Moderna	No
5	2022-12-13	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-23

Symptoms: On the 6th day after my vaccine my arm became much more red, swollen, warm and itchy. The red, swollen area was about 4 inches by 6 inches, almost all the way around my arm. It continued to worsen until the 10th day, then began to improve.

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Slight Dizziness

Release 4 — day 7, dose 2

2021-02-13

Systemic reaction (other): Slight dizziness.

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: Slight dry cough, mostly in the mornings or when I first lie down at night, for about a month. I suspect its allergies.

Release 11 — 12 months, dose 2

2022-02-06

Symptoms: Joint pain, Pleurisy, and Sinus Infection, all occurring after I had Covid in August.

Release 12 — day 0, dose 4

2022-07-10

Systemic reaction (other): Just had the booster 2 hours ago.

Release 12 — days 1–6 daily, dose 5

2022-12-17

Systemic reaction (other): Occasional slight dizziness, possibly from not enough sleep.

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	Arthralgia	·	·	✓
SD	Chills	·	·	✓
SD	Cough	✓	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Erythema	✓	✓	✓
SD	Malaise	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pleurisy	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pruritus	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Skin warm	✓	✓	✓
SD	Viral infection	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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