3HX-23606-85990

2 vaccinations 13 coded responses 25 check-ins 13 free-text entries 4 call cases

Sex: —
Age at first dose: 66+
ZIP prefix: 481 / MI
Registered: 2021-03-30

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Moderna
2021-03-30
Survey response — day 0, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain

Free text: internal itching in hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: deep itching in fingers

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

Free text: fingers still feel itchy internally- but better than day 1

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Nausea

Free text: internal hand itchiness better

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: Glossodynia — Feeling: Fair · Nausea

Free text: I failed to mention that my tongue has been sore since the day after I receive the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Pain in extremity — Feeling: Good · Muscle or body aches, Nausea

Free text: spot on thigh that was super sensitive- then turned extremely painful during the night...still lingering sensitive. Got EXTREMELY dizzy before the sensitivity.

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

Adult check-in
2021-04-06
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches

Free text: swollen lymph gland near armpit on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 14, dose 1
MedDRA: Limb discomfort, Oedema peripheral, Peripheral swelling — Feeling: Good

Free text: exceptionally swelling in one leg with discomfort/ discomfort really started about 2 weeks ago- will seek heathcare re this and swelling in armpit on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 21, dose 1
MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: The conditions that I spoke of took me to the doctors office who told me that the lumps under my armpits and on my leg were most likely due to the Covid vaccine. Swollen neck glands. Also the same leg has swollen larger than my other leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Survey response — day 28, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Same swollen lymph gland in arm pit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Dose 2 — Moderna
2021-05-04
Survey response — day 0, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: still have effects from 1st shot---dr feels it is side effects

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: off and on head pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — day 21, dose 2
MedDRA: Fatigue, Lymphadenopathy, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: It is a continuing problem of swollen lymph gland on same side as the injection site in armpit and left leg still swollen larger than the right. Still fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-26
Call 1 — Left Voicemail
2022-05-04
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-05-04	Moderna

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-30

Systemic reaction (other): internal itching in hands

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): deep itching in fingers

2021-04-01

Systemic reaction (other): fingers still feel itchy internally- but better than day 1

2021-04-02

Systemic reaction (other): internal hand itchiness better

2021-04-03

Systemic reaction (other): I failed to mention that my tongue has been sore since the day after I receive the injection

2021-04-04

Systemic reaction (other): spot on thigh that was super sensitive- then turned extremely painful during the night...still lingering sensitive. Got EXTREMELY dizzy before the sensitivity.

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): swollen lymph gland near armpit on injection side

Release 7 — day 14, dose 1

2021-04-13

Symptoms: exceptionally swelling in one leg with discomfort/ discomfort really started about 2 weeks ago- will seek heathcare re this and swelling in armpit on injection side

Release 7 — day 21, dose 1

2021-04-20

Symptoms: The conditions that I spoke of took me to the doctors office who told me that the lumps under my armpits and on my leg were most likely due to the Covid vaccine. Swollen neck glands. Also the same leg has swollen larger than my other leg

Release 8 — day 28, dose 1

2021-04-27

Symptoms: Same swollen lymph gland in arm pit

Release 8 — day 0, dose 2

2021-05-04

Systemic reaction (other): still have effects from 1st shot---dr feels it is side effects

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): off and on head pains

Release 8 — day 21, dose 2

2021-05-25

Symptoms: It is a continuing problem of swollen lymph gland on same side as the injection site in armpit and left leg still swollen larger than the right. Still fatigued

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	Fatigue	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Glossodynia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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