3SZ-28600-40162

4 vaccinations 22 coded responses 38 check-ins 21 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 952 / CA
Registered: 2021-02-04

Relationship: Self
Race: Multiracial
Ethnicity: N/A

Timeline

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

2021-02-01
Dose 1 — Moderna
2021-02-04
Registered in v-safe
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Mobility decreased — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Difficulty lifting arm M,T,W. Couldnt sleep on that arm. Better now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Breast pain, Office visit — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Left knee pain. Left breast pain · Healthcare visit (other): Appointment with Dr for internal medicine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Injection site hurt just a bit. I lightly massaged it this morning. It hurts now! Lesson learned: massaging makes it worse again. I

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-01
Dose 2 — Moderna
2021-03-01
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Facial pain, Fatigue, Feeling hot, Headache, Nasopharyngitis, Periorbital swelling, Peripheral coldness — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Pretty good yesterday. But today feels like Im coming down with a cold. Slight headache, very tired, face hurts some where sinuses are, eyes a little puffy, face warm and pink, hands cold etc.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Feeling cold, Headache, Injection site erythema, Injection site indentation, Injection site induration, Injection site warmth, Nasopharyngitis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Last night couldnt warm up. Area larger than a palm at injection site was hard, very warm, pink, and a small red crater where the needle penetrated. Today better but very tired and still cold,(but no longer shivering), mild headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Vaccination site induration, Vaccination site swelling, Vaccination site warmth — Feeling: Good · Fatigue or tiredness

Free text: Only that the vaccination site is no longer swollen and hard but it still is warm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Chills, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: I think its a reaction to 150 mg tablet of fluconazole reaction.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site warmth — Feeling: Good · Site: Itching

Free text: Site is still a a bit warm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site warmth — Feeling: Good

Free text: Site is still a bit warm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Shoulder has hurt when raising arm above shoulder ht since the vaccine. Not sure if connected.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 21, dose 2
MedDRA: Arthralgia, Pain — Feeling: Good

Free text: Right shoulder still hurts when I lift it above shoulder ht. Still not sure if its vaccine site related. Otherwise good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 28, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Good

Free text: Upper arm/lower shoulder still hurting. Not sure if its related but didnt have it before vaccine. Otherwise good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 35, dose 2
MedDRA: Arthralgia, Asthenia, Pain in extremity, Product administered at inappropriate site — Feeling: Good

Free text: My upper arm/shoulder area still sore and weak since day of second vaccine. It was given app 3 higher than first site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 42, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Good

Free text: Arm/shoulder still hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired. For weeks not just the right upper arm/shoulder hurt but also other major joints. Right and left shoulders, hips, knees. Better now but not totally gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Call 2 — Left Voicemail
2021-08-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Moderna
2022-03-01
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-08-08
Dose 4 — Moderna
2022-08-08
Survey response — day 0, dose 4
MedDRA: Pain in extremity — Feeling: Good · Site: Pain

Free text: Just a really sore arm like someone socked me hard.

MedDRA releases: 2024-11 · check-in free text available
2022-08-09
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site pain, Insomnia — Feeling: Good · Site: Pain

Free text: Only that my arm was still painful all night at the site so little sleep

MedDRA releases: 2024-11 · check-in free text available
2022-08-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Diarrhea

Adult check-in
2022-08-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Diarrhea

Adult check-in
2022-08-12
Survey response — days 1–6 daily, dose 4
MedDRA: Diarrhoea, Nausea — Feeling: Good · Site: Itching · Diarrhea

Free text: Only slight diarrhea and a bit of nausea

MedDRA releases: 2024-11 · check-in free text available
2022-08-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-15
Survey response — day 7, dose 4
MedDRA: Injection site pruritus — Feeling: Good · Site: Itching

Free text: Just the itching that came back, from the shot site and down 3". Not bad unless I touch or rub the area, then it gets worse.

MedDRA releases: 2024-11 · check-in free text available
2022-08-22
Survey response — day 14, dose 4
MedDRA: Injection site reaction, Rash, Rash pruritic, Self-medication — Feeling: Good

Free text: I have had itchy skin and bumps/rash from the vaccination site to about 3" down on that arm only. At one point it was also just below my elbow too. Sometimes it's worse, sometimes better. Only thing that has helped is spray Benadryl. Better now.

MedDRA releases: 2024-11 · check-in free text available
2022-08-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-09-05
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-09-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-09-19
Survey response — day 42, dose 4
MedDRA: Urinary tract infection — Feeling: Good

Free text: A simple UTI. On antibiotics for it. And cataract surgery in 3 weeks.

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-02-06
Survey response — 6 months, dose 4
MedDRA: Hepatic failure, Office visit, Osteoporosis, Renal failure — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-02-06
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-02-07
Call 1 — Left Voicemail
2023-02-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-01	Moderna
3	2021-12-03	Moderna	No
4	2022-08-08	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): Difficulty lifting arm M,T,W. Couldnt sleep on that arm. Better now.

2021-02-05

Systemic reaction (other): Left knee pain. Left breast pain

Healthcare visit (other): Appointment with Dr for internal medicine

2021-02-07

Systemic reaction (other): Injection site hurt just a bit. I lightly massaged it this morning. It hurts now! Lesson learned: massaging makes it worse again. I

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Pretty good yesterday. But today feels like Im coming down with a cold. Slight headache, very tired, face hurts some where sinuses are, eyes a little puffy, face warm and pink, hands cold etc.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Last night couldnt warm up. Area larger than a palm at injection site was hard, very warm, pink, and a small red crater where the needle penetrated. Today better but very tired and still cold,(but no longer shivering), mild headache.

2021-03-04

Systemic reaction (other): Only that the vaccination site is no longer swollen and hard but it still is warm

2021-03-05

Systemic reaction (other): I think its a reaction to 150 mg tablet of fluconazole reaction.

2021-03-06

Systemic reaction (other): Site is still a a bit warm

2021-03-07

Systemic reaction (other): Site is still a bit warm

Release 5 — day 14, dose 2

2021-03-15

Symptoms: Shoulder has hurt when raising arm above shoulder ht since the vaccine. Not sure if connected.

Release 6 — day 21, dose 2

2021-03-22

Symptoms: Right shoulder still hurts when I lift it above shoulder ht. Still not sure if its vaccine site related. Otherwise good.

Release 6 — day 28, dose 2

2021-03-29

Symptoms: Upper arm/lower shoulder still hurting. Not sure if its related but didnt have it before vaccine. Otherwise good.

Release 6 — day 35, dose 2

2021-04-05

Symptoms: My upper arm/shoulder area still sore and weak since day of second vaccine. It was given app 3 higher than first site.

Release 7 — day 42, dose 2

2021-04-12

Symptoms: Arm/shoulder still hurts

Release 8 — 3 months, dose 2

2021-05-31

Symptoms: Tired. For weeks not just the right upper arm/shoulder hurt but also other major joints. Right and left shoulders, hips, knees. Better now but not totally gone

Release 12 — day 0, dose 4

2022-08-08

Systemic reaction (other): Just a really sore arm like someone socked me hard.

Release 12 — days 1–6 daily, dose 4

2022-08-09

Systemic reaction (other): Only that my arm was still painful all night at the site so little sleep

2022-08-12

Systemic reaction (other): Only slight diarrhea and a bit of nausea

Release 12 — day 7, dose 4

2022-08-15

Systemic reaction (other): Just the itching that came back, from the shot site and down 3". Not bad unless I touch or rub the area, then it gets worse.

Release 12 — day 14, dose 4

2022-08-22

Symptoms: I have had itchy skin and bumps/rash from the vaccination site to about 3" down on that arm only. At one point it was also just below my elbow too. Sometimes it's worse, sometimes better. Only thing that has helped is spray Benadryl. Better now.

Release 12 — day 42, dose 4

2022-09-19

Symptoms: A simple UTI. On antibiotics for it. And cataract surgery in 3 weeks.

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
HCVO	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hepatic failure	·	·	✓
SD	Injection site reaction	·	·	✓
SD	Osteoporosis	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Product administered at inappropriate site	✓	✓	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Renal failure	·	·	✓
SD	Self-medication	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Diarrhoea	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling cold	·	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site indentation	·	·	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	·	·	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Periorbital swelling	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Vaccination site induration	✓	✓	✓
SRO	Vaccination site swelling	✓	✓	✓
SRO	Vaccination site warmth	✓	✓	✓

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