4CK-35215-38064

2 vaccinations 5 coded responses 26 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 617 / IL
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 21, dose 1
MedDRA: Fatigue, Headache, Immunisation reaction, Impaired quality of life, Impaired work ability, Peripheral swelling, Rash, Skin warm — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Covid arm on Friday April 2 and Saturday April 3.Swelling, rash and warmth on upper arm where vaccine was administered. Strong headache and tiredness both days that prohibited me from daily activities and work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-29
Survey response — day 14, dose 2
MedDRA: Arthralgia, Discomfort — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Intense abdominal pressure and referred shoulder pain lasting over 4 hours that was similar to pain and feeling of gallbladder attacks. My gallbladder was removed over 4 years ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 35, dose 2
MedDRA: Rash — Feeling: Good

Free text: Unexpected rash on face and neck lasted 24 hours in the past week, may not be related. No known triggers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 42, dose 2
MedDRA: Hypersensitivity, Oral mucosal eruption, Oral mucosal exfoliation, Rash, Rash vesicular, Skin exfoliation — Feeling: Good · 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: Second flare of allergic reaction appeared on my face and neck in as many weeks, suspicion of heightened immune response as driver for reactions. This time the rash blistered and peeled around my mouth and eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
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)
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-03
Call 1 — Left Voicemail
2022-04-15
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-15	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 21, dose 1

2021-04-06

Symptoms: Covid arm on Friday April 2 and Saturday April 3.Swelling, rash and warmth on upper arm where vaccine was administered. Strong headache and tiredness both days that prohibited me from daily activities and work

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Brain fog

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Intense abdominal pressure and referred shoulder pain lasting over 4 hours that was similar to pain and feeling of gallbladder attacks. My gallbladder was removed over 4 years ago.

Release 8 — day 35, dose 2

2021-05-20

Symptoms: Unexpected rash on face and neck lasted 24 hours in the past week, may not be related. No known triggers

Release 8 — day 42, dose 2

2021-05-27

Symptoms: Second flare of allergic reaction appeared on my face and neck in as many weeks, suspicion of heightened immune response as driver for reactions. This time the rash blistered and peeled around my mouth and eyes

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	Arthralgia	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Impaired quality of life	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Oral mucosal eruption	✓	✓	✓
SD	Oral mucosal exfoliation	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash vesicular	✓	✓	✓
SD	Skin exfoliation	✓	✓	✓
SD	Skin warm	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓

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