42L-10012-35162

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 330 / FL
Registered: 2021-01-07

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Abdominal pain

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure diastolic increased — Feeling: Good

Free text: Diastolic number has been somewhat elevated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Good · None · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased, Heart rate increased — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Elevated blood pressure and heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Free text: Temp.was 98.9

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Survey response — day 21, dose 2
MedDRA: Blood pressure increased — Feeling: Fair

Free text: Elevated blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 28, dose 2
MedDRA: Blood pressure increased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Elevated blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — day 35, dose 2
MedDRA: Thyroid disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Return of overactive thyroid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Survey response — day 42, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: The arm where I received my shot pains me intermittently.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Injection site pain, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Not really new,I mentioned this before and its still there; left arm ( arm where I received both jabs) very painful when raising it up. The pain is felt in the upper portion of my arm between elbow and shoulder. My right arm is fine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-19
Call 1 — Left Voicemail
2021-10-20
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Diastolic number has been somewhat elevated

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Elevated blood pressure and heart rate

2021-02-07

Systemic reaction (other): Temp.was 98.9

Release 4 — day 21, dose 2

2021-02-27

Symptoms: Elevated blood pressure

Release 5 — day 28, dose 2

2021-03-04

Symptoms: Elevated blood pressure

Release 5 — day 35, dose 2

2021-03-13

Symptoms: Return of overactive thyroid

Release 5 — day 42, dose 2

2021-03-19

Symptoms: The arm where I received my shot pains me intermittently.

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Not really new,I mentioned this before and its still there; left arm ( arm where I received both jabs) very painful when raising it up. The pain is felt in the upper portion of my arm between elbow and shoulder. My right arm is fine.

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	Blood pressure increased	✓	✓	✓
SD	Injection site pain	✓	·	✓
SD	Pain	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Thyroid disorder	✓	✓	✓
SRO	Blood pressure diastolic increased	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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