3SK-69264-28874

4 vaccinations 9 coded responses 35 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 857 / AZ
Registered: 2021-03-06

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Moderna
2021-03-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain, Redness, Itching

Free text: Itchy in am, barely see redness. Not as sensitive/painful to the touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Unevaluable event — Feeling: Good · Site: Redness

Free text: Very light pink, size of a quarter. It was the size of a golf ball on day 2.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Survey response — day 7, dose 1
MedDRA: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth, Pain, Respiratory tract irritation, Self-medication — Feeling: Fair · Site: Redness, Swelling, Itching

Free text: Arm went from barely noticeable in the am, to darker pink yesterday. Woke up today with itchy arm, the redness is larger and noticeable, and Feel a large bump in area. Redness is the size of a golf ball, warmer to the touch. It is on my left arm. I did not sleep on it. Maybe my shirt rubbed the area? I might take Advil tonight if it is still red/ itchy. My lungs feel a little aggravated, body a little achy, but not enough to keep me from doing my work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Moderna
2021-04-03
Survey response — day 0, dose 2
MedDRA: Respiratory tract irritation — Feeling: Good · Site: Pain

Free text: Lungs feel irritated for about 1-week. But I can breath ok.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature abnormal, Feeling cold, Pain, Self-medication, Somnolence — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Got my shot at Noon, by 8pm, I could barely move my arm, pain was severe w/ movement. Went to bed achy, temp off. Woke up at 2am, cold, achy. Took a nap mid am, arm does not hurt as much. I have been taking Advil to help take the edge off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Ear congestion, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: My temperature is usually 97.4, so it was slightly elevated. My head/ears feels a little stuffy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Dose 3 — Moderna
2022-04-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-27
Dose 4 — Moderna
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Feeling abnormal, Malaise, Pain, Self-medication, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Woke up feeling bad, got worse as day went on, by early afternoon took Advil, feeling better. No more body aches, temp off, not feeling that great.

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-05-01
Survey response — days 1–6 daily, dose 4
MedDRA: Ear congestion, Feeling abnormal, Flushing, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Face feels flush, I feel off. Throat hurts some, ears stuffy since yesterday.

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-11
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-27
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-27
Survey response — 12 months, dose 4
MedDRA: COVID-19, Chills, Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-03	Moderna
3	2021-11-11	Moderna	No
4	2022-04-27	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Itchy in am, barely see redness. Not as sensitive/painful to the touch

2021-03-11

Systemic reaction (other): Very light pink, size of a quarter. It was the size of a golf ball on day 2.

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): Arm went from barely noticeable in the am, to darker pink yesterday. Woke up today with itchy arm, the redness is larger and noticeable, and Feel a large bump in area. Redness is the size of a golf ball, warmer to the touch. It is on my left arm. I did not sleep on it. Maybe my shirt rubbed the area? I might take Advil tonight if it is still red/ itchy. My lungs feel a little aggravated, body a little achy, but not enough to keep me from doing my work.

Release 6 — day 0, dose 2

2021-04-03

Systemic reaction (other): Lungs feel irritated for about 1-week. But I can breath ok.

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Got my shot at Noon, by 8pm, I could barely move my arm, pain was severe w/ movement. Went to bed achy, temp off. Woke up at 2am, cold, achy. Took a nap mid am, arm does not hurt as much. I have been taking Advil to help take the edge off.

2021-04-05

Systemic reaction (other): My temperature is usually 97.4, so it was slightly elevated. My head/ears feels a little stuffy.

Release 11 — days 1–6 daily, dose 4

2022-04-28

Systemic reaction (other): Woke up feeling bad, got worse as day went on, by early afternoon took Advil, feeling better. No more body aches, temp off, not feeling that great.

2022-05-01

Systemic reaction (other): Face feels flush, I feel off. Throat hurts some, ears stuffy since yesterday.

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	Chills	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Body temperature abnormal	✓	✓	✓
SRO	Ear congestion	✓	✓	✓
SRO	Erythema	✓	·	✓
SRO	Feeling abnormal	·	·	✓
SRO	Feeling cold	✓	✓	✓
SRO	Flushing	·	·	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Malaise	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Respiratory tract irritation	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Unevaluable event	○	✓	✓

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