46U-19877-81577

2 vaccinations 6 coded responses 21 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 334 / FL
Registered: 2021-03-18

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-17
Dose 1 — Moderna
2021-03-18
Registered in v-safe
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Nasopharyngitis, Pruritus, Self-medication, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea

Free text: On the red are I applied cold caladryl and it helped with itching, redness and swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-03-24
Survey response — day 7, dose 1
MedDRA: Pain — Feeling: Poor · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: The severe pain Im not sure if it is the vaccine or my pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 14, dose 1
MedDRA: Erythema, Fatigue, Mass, Pruritus — Feeling: Poor · Be unable to do your normal daily activities

Free text: Body itching and a lump that is red and itchy. Very tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: My other arm were I got the first one got activated and it hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: Shortness of breath moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

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

Adult check-in
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Survey response — day 42, dose 2
MedDRA: Blood cholesterol increased, Diabetes mellitus, Hypertension, Malaise, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I was told Im diabetic, cholesterols through the roof and my blood pressure has been very high and not feeling well at all. · Healthcare visit (other): Primary Doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): On the red are I applied cold caladryl and it helped with itching, redness and swelling.

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): The severe pain Im not sure if it is the vaccine or my pain.

Release 6 — day 14, dose 1

2021-03-31

Symptoms: Body itching and a lump that is red and itchy. Very tired

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): My other arm were I got the first one got activated and it hurts

2021-04-20

Systemic reaction (other): Shortness of breath moderate

Release 8 — day 42, dose 2

2021-05-28

Symptoms: I was told Im diabetic, cholesterols through the roof and my blood pressure has been very high and not feeling well at all.

Healthcare visit (other): Primary Doctor

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	Blood cholesterol increased	✓	✓	✓
SD	Diabetes mellitus	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Mass	✓	✓	✓
SD	Pruritus	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Nasopharyngitis	○	✓	○
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	·	✓
SRO	Swelling	✓	✓	✓

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