46C-13216-33663

3 vaccinations 8 coded responses 30 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 483 / MI
Registered: 2021-02-24

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

2021-02-17
Dose 1 — Moderna
2021-02-24
Registered in v-safe
2021-02-24
Survey response — day 7, dose 1
MedDRA: Immunisation reaction, Myalgia, Nausea — Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Was ok after day 2. Today woke up with Covid arm and return of nausea. Muscle ache scapula of injection arm.

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

Adult check-in
2021-03-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-17
Dose 2 — Moderna
2021-03-17
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness

Free text: I have giant round rash (maybe 4x3) at injection site. Covid arm appeared this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Irritability — Feeling: Good · Site: Redness, Swelling

Free text: Really irritable not sure if related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Hypotension, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Blood pressure low 95/64 usually I run high and am on medicine for it

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Blood pressure diastolic decreased — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Diastolic bp low in 60s still. Usually i run high and need medicine for it

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-22
Survey response — day 28, dose 3
MedDRA: Pre-existing disease, Urticaria — Feeling: Good

Free text: I have had hives all week. I do ocassionally get hives so it is hard to say if it is related to booster or not.

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — day 35, dose 3
MedDRA: Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I still have hives. I do get them from time to time so im not sure it is necessarily from booster. I saw dermatologist and she prescibed antihistamines · Healthcare visit (other): Dermatologist

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-30
Call 1 — Could Not Reach Participant
2021-12-06
Call 2 — Could Not Reach Participant
2021-12-07
Survey response — day 42, dose 3
MedDRA: Urticaria — Feeling: Good

Free text: Still hives. Antihistamines 2/day

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-27
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-17	Moderna
3	2021-10-25	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-24

Systemic reaction (other): Was ok after day 2. Today woke up with Covid arm and return of nausea. Muscle ache scapula of injection arm.

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): I have giant round rash (maybe 4x3) at injection site. Covid arm appeared this morning.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Really irritable not sure if related.

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Blood pressure low 95/64 usually I run high and am on medicine for it

2021-10-29

Systemic reaction (other): Diastolic bp low in 60s still. Usually i run high and need medicine for it

Release 10 — day 28, dose 3

2021-11-22

Symptoms: I have had hives all week. I do ocassionally get hives so it is hard to say if it is related to booster or not.

Release 10 — day 35, dose 3

2021-11-29

Symptoms: I still have hives. I do get them from time to time so im not sure it is necessarily from booster. I saw dermatologist and she prescibed antihistamines

Healthcare visit (other): Dermatologist

Release 10 — day 42, dose 3

2021-12-07

Symptoms: Still hives. Antihistamines 2/day

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	Pre-existing disease	·	·	✓
SD	Urticaria	·	·	✓
SRO	Blood pressure diastolic decreased	·	·	✓
SRO	Hypotension	·	·	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pre-existing disease	·	·	✓

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