47T-11876-26596

4 vaccinations 6 coded responses 31 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 180 / PA
Registered: 2021-01-21

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

2021-01-19
Dose 1 — Moderna
2021-01-21
Registered in v-safe
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-02
Survey response — day 14, dose 1
MedDRA: Erythema, Injection site pruritus, Skin discolouration — Feeling: Good

Free text: On the 9th day the vaccine area itched horribly...only lasting a few hours. Now I still have a gray/red mark the size of a half dollar. No itching or swelling though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — 3 months, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: At the injection site I get a soreness often. I know exactly where a needle went in my arm. It doesnt stop me from doing things, just annoying.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Dose 3 — Moderna
2022-02-26
Survey response — 12 months, dose 2
MedDRA: Abdominal pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Abdominal pain, Drs not sure if it's just scar tissue. Been doctoring since October. · Healthcare visit (other): Many tests dr appts

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-03-02
Call 1 — Left Voicemail
2022-04-28
Dose 4 — Moderna
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site swelling, Neck pain, Pain in extremity, Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches

Free text: I've got a swelled bump below and at the stick area. My arm is aching from my neck to my hand. This is new from the last 3 vaccines.

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Survey response — days 1–6 daily, dose 4
MedDRA: Pain in extremity — Feeling: Good · Site: Redness, Swelling · Muscle or body aches

Free text: Still the aching in my arm this morning but much better this afternoon.

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · None

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-05
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-12
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-10
Survey response — day 42, dose 4
MedDRA: Chills, Laboratory test abnormal, Nasopharyngitis, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Started with what I thought were allergies and resting negative to 2 days later testing positive with the chills and what is like a horrible head cold and chest congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Report sent to call center — day 42, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-13
Call 1 — Left Voicemail
2023-04-28
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-26	Moderna
3	2021-11-04	Moderna	No
4	2022-04-28	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-02

Symptoms: On the 9th day the vaccine area itched horribly...only lasting a few hours. Now I still have a gray/red mark the size of a half dollar. No itching or swelling though.

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: At the injection site I get a soreness often. I know exactly where a needle went in my arm. It doesnt stop me from doing things, just annoying.

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: Abdominal pain, Drs not sure if it's just scar tissue. Been doctoring since October.

Healthcare visit (other): Many tests dr appts

Release 11 — days 1–6 daily, dose 4

2022-04-30

Systemic reaction (other): I've got a swelled bump below and at the stick area. My arm is aching from my neck to my hand. This is new from the last 3 vaccines.

2022-05-01

Systemic reaction (other): Still the aching in my arm this morning but much better this afternoon.

Release 12 — day 42, dose 4

2022-06-10

Symptoms: Started with what I thought were allergies and resting negative to 2 days later testing positive with the chills and what is like a horrible head cold and chest congestion.

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	Abdominal pain	·	·	✓
SD	Chills	·	·	✓
SD	Erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Laboratory test abnormal	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Office visit	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Skin discolouration	✓	✓	✓
SRO	Injection site swelling	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Peripheral swelling	·	·	✓

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