3R8-31632-48262

4 vaccinations 13 coded responses 49 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 370 / TN
Registered: 2021-02-18

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

2021-02-18
Registered in v-safe
2021-02-18
Dose 1 — Moderna
2021-02-18
Health check-in — day 0, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Survey response — day 14, dose 1
MedDRA: Induration, Injection site induration, Injection site nodule, Injection site pruritus, Injection site warmth, Pain, Petechiae, Rash — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: On 3/28, a raised knit appeared at injection site. Each day, it tripled in size. Is hard, hot, itchy, and the entire shoulder (including scapula) throbs. Two days ago, a petechial rash appeared on the back of my right hand and has stayed the same.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-21
Dose 2 — Moderna
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Tachycardia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Tachycardiaranging between 103 and 107 bpm; Lymph node swelling in neck, armpits and groin area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Heart rate still elevated, but less so than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Petechiae — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Petechial rash on right lower leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-03-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-18
Survey response — day 28, dose 2
MedDRA: Petechiae — Feeling: Good

Free text: Petechial rash all over my back presented two days ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-22
Survey response — 3 months, dose 2
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache every day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-19
Survey response — 6 months, dose 2
MedDRA: Thrombosis — Feeling: Fair · 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: Blood clot in right leg

MedDRA releases: 2024-11 · check-in free text available
2021-09-19
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-20
Call 1 — Left Voicemail
2021-10-29
Dose 3 — Moderna
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Diarrhea, Rash, not including the immediate area around the injection site

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — day 7, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Survey response — day 21, dose 3
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraines

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — day 28, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — day 35, dose 3
MedDRA: Arthralgia — Feeling: Fair · 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: Pain behind knee again. Scheduled to go for ultrasound to rule out DVT today.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Report sent to call center — day 35, dose 3
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)
2021-12-06
Call 1 — Left Voicemail
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-16
Dose 4 — Moderna
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2022-04-23
Health check-in — day 7, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-04-30
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-18
Survey response — 3 months, dose 4
MedDRA: Headache, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, runny nose

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-21	Moderna
3	2021-10-29	Moderna	No
4	2022-04-16	Moderna	No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-04

Symptoms: On 3/28, a raised knit appeared at injection site. Each day, it tripled in size. Is hard, hot, itchy, and the entire shoulder (including scapula) throbs. Two days ago, a petechial rash appeared on the back of my right hand and has stayed the same.

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Tachycardiaranging between 103 and 107 bpm; Lymph node swelling in neck, armpits and groin area.

2021-03-23

Systemic reaction (other): Heart rate still elevated, but less so than yesterday

2021-03-26

Systemic reaction (other): Petechial rash on right lower leg

Release 7 — day 28, dose 2

2021-04-18

Symptoms: Petechial rash all over my back presented two days ago.

Release 9 — 3 months, dose 2

2021-06-22

Symptoms: Headache every day

Release 9 — 6 months, dose 2

2021-09-19

Symptoms: Blood clot in right leg

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Swollen lymph nodes

Release 10 — day 7, dose 3

2021-11-05

Systemic reaction (other): Sore throat

Release 10 — day 21, dose 3

2021-11-19

Symptoms: Migraines

Release 10 — day 28, dose 3

2021-11-26

Symptoms: Joint pain

Release 10 — day 35, dose 3

2021-12-03

Symptoms: Pain behind knee again. Scheduled to go for ultrasound to rule out DVT today.

Release 12 — 3 months, dose 4

2022-07-18

Symptoms: Headache, runny nose

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	Headache	✓	✓	✓
SD	Induration	✓	✓	✓
SD	Injection site induration	✓	✓	✓
SD	Injection site nodule	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Migraine	·	·	✓
SD	Pain	✓	✓	✓
SD	Petechiae	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Thrombosis	·	·	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Petechiae	✓	✓	✓
SRO	Tachycardia	✓	✓	✓

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