44Z-99167-54796

4 vaccinations 12 coded responses 34 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 211 / MD
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Survey response — day 0, dose 1
MedDRA: Injection site erythema, Injection site nodule, Injection site pruritus — Feeling: Good · Site: Pain

Free text: Itching and redness not at round the immediate site

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 · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot — Feeling: Good · Fever · Joint pains, Fatigue or tiredness

Free text: I felt warm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Good · Chills, Joint pains, Fatigue or tiredness

Free text: My chills were at a minimum. No fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Joint pains

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — day 14, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: My right arm was achy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 21, dose 1
MedDRA: Joint stiffness, Lymphadenopathy, Musculoskeletal stiffness, Pain in extremity — Feeling: Good

Free text: My lymph nodes under my left arm are swollen. That is the same arm I got the vaccination shot. My right arm is a little achy and stiff.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue and tiredness

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

Free text: Tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 42, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: My lymph nodes were swollen under my left arm. The arm that I received both doses of the Moderna vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-18
Dose 3 — Moderna
2022-04-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-19
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-11
Dose 4 — Moderna
2022-10-31
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-10
Survey response — 3 months, dose 4
MedDRA: Office visit, Vitamin B12 decreased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-01-10
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-01-11
Call 1 — Left Voicemail
2023-04-12
Survey response — 6 months, dose 4
MedDRA: Anaemia, Arthralgia, Vitamin B12 decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-12
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)
2023-04-13
Call 2 — Left Voicemail
2023-04-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-11-18	Moderna	No
4	2022-10-11	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): Itching and redness not at round the immediate site

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): I felt warm

2021-03-14

Systemic reaction (other): My chills were at a minimum. No fever

2021-03-15

Systemic reaction (other): None

Release 6 — day 14, dose 1

2021-03-25

Symptoms: My right arm was achy.

Release 6 — day 21, dose 1

2021-04-01

Symptoms: My lymph nodes under my left arm are swollen. That is the same arm I got the vaccination shot. My right arm is a little achy and stiff.

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Fatigue and tiredness

2021-04-11

Systemic reaction (other): Tiredness

Release 8 — day 42, dose 2

2021-05-20

Symptoms: Joint pain

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: My lymph nodes were swollen under my left arm. The arm that I received both doses of the Moderna vaccine.

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	Anaemia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Joint stiffness	✓	✓	○
SD	Lymphadenopathy	✓	✓	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Vitamin B12 decreased	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site nodule	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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