4A9-13541-83052

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 234 / VA
Registered: 2021-01-06

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

2021-01-05
Dose 1 — Moderna
2021-01-06
Registered in v-safe
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
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
2021-02-02
Dose 2 — Moderna
2021-02-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: COVID ARM

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Immunisation reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache · Be unable to work, Be unable to do your normal daily activities

Free text: COVID ARM

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: Fair · Site: Pain, Swelling, Itching · Headache

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Survey response — day 28, dose 2
MedDRA: Injection site discolouration, Injection site pruritus — Feeling: Good

Free text: Itching continues on the injection arm with some discoloration

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-14
Call 1 — Left Voicemail
2021-08-03
Survey response — 6 months, dose 2
MedDRA: Body temperature increased, Cough, Decreased appetite, Diarrhoea, Ear pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, head congestion, ear ache, low grade temp, lack of appetite, loose stools

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-02
Survey response — 12 months, dose 2
MedDRA: Electric shock sensation, Headache, Immunisation reaction, Injection site reaction, Musculoskeletal discomfort, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school

Free text: 3rd shot-Booster ended up with Moderna arm. It lasted for 7 days and I still have intermittent zinger type nerve itching at the injection site. Was febrile for 72 hours with bosy aches and headache. I jave continued to have nagging joint discomfort.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-02	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 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): COVID ARM

2021-02-07

Systemic reaction (other): COVID ARM

Release 4 — day 28, dose 2

2021-03-02

Symptoms: Itching continues on the injection arm with some discoloration

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: Cough, head congestion, ear ache, low grade temp, lack of appetite, loose stools

Release 11 — 12 months, dose 2

2022-02-02

Symptoms: 3rd shot-Booster ended up with Moderna arm. It lasted for 7 days and I still have intermittent zinger type nerve itching at the injection site. Was febrile for 72 hours with bosy aches and headache. I jave continued to have nagging joint discomfort. cut off by CDC

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	Body temperature increased	✓	·	✓
SD	Cough	✓	·	✓
SD	Decreased appetite	✓	·	✓
SD	Diarrhoea	✓	·	✓
SD	Ear pain	✓	·	✓
SD	Electric shock sensation	·	·	✓
SD	Headache	·	·	✓
SD	Immunisation reaction	·	·	✓
SD	Injection site discolouration	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site reaction	·	·	✓
SD	Musculoskeletal discomfort	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓

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