3AF-55631-76749

3 vaccinations 8 coded responses 39 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 330 / FL
Registered: 2021-04-01

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

FNV-86217-73043 Child or adolescent in my care · Male · 2021-11-11

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Moderna
2021-04-01
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Free text: The muscle ache is in the left arm and shoulder only. It's not too bothersome when managed with Tylenol and compresses.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Discomfort, Injection site pain, Injection site swelling, Lymphadenopathy — Feeling: Good · Site: Swelling · Fatigue or tiredness

Free text: Lymph nodes in the left armpit are a bit swollen. Minimal discomfort. All other pain and swelling at injection site is almost gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-29
Dose 2 — Moderna
2021-04-29
Survey response — day 0, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Shot was @ 3:45pm. Only mild arm soreness at shot site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash, Rash pruritic — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: The rash is adjacent to the shot site. It's a barely noticeable rash that's mildly itchy. It showed up last night, but is fading

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Immunisation reaction, Injection site pruritus, Injection site rash — Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Covid arm rash cleared up, but the site where the rash was is still mildly itchy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-06
Survey response — day 7, dose 2
MedDRA: Oropharyngeal pain, Pre-existing disease, Sick relative — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Sore throat, HOWEVER this is NOT related to the shot. My son has a virus (not Covid) and got me sick. Again, not Covid and not related to my vaccines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Survey response — day 28, dose 2
MedDRA: Arthritis, Colitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Diagnosed with Acute Colitis on 5/27. Flare up started 5/21. I do not feel that the vaccine triggered it, but mentioning it regardless.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-18
Dose 3 — Moderna
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-25
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-01
Survey response — day 14, dose 3
MedDRA: SARS-CoV-2 test negative, Viral infection — Feeling: Fair

Free text: Caught a virus this week. Negative for Covid

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-14
Call 1 — Could Not Reach Participant
2022-02-17
Call 2 — Left Voicemail
2022-03-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-18
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna
3	2021-12-18	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): The muscle ache is in the left arm and shoulder only. It's not too bothersome when managed with Tylenol and compresses.

2021-04-03

Systemic reaction (other): Lymph nodes in the left armpit are a bit swollen. Minimal discomfort. All other pain and swelling at injection site is almost gone.

Release 8 — day 0, dose 2

2021-04-29

Systemic reaction (other): Shot was @ 3:45pm. Only mild arm soreness at shot site.

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): The rash is adjacent to the shot site. It's a barely noticeable rash that's mildly itchy. It showed up last night, but is fading

2021-05-03

Systemic reaction (other): Covid arm rash cleared up, but the site where the rash was is still mildly itchy.

Release 8 — day 7, dose 2

2021-05-06

Systemic reaction (other): Sore throat, HOWEVER this is NOT related to the shot. My son has a virus (not Covid) and got me sick. Again, not Covid and not related to my vaccines

Release 8 — day 28, dose 2

2021-05-27

Symptoms: Diagnosed with Acute Colitis on 5/27. Flare up started 5/21. I do not feel that the vaccine triggered it, but mentioning it regardless.

Release 10 — day 14, dose 3

2022-01-01

Symptoms: Caught a virus this week. Negative for Covid

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	Arthritis	○	✓	○
SD	Colitis	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Viral infection	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓
SRO	Sick relative	✓	✓	✓

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