4HD-10032-61906

2 vaccinations 11 coded responses 21 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 190 / PA
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-01-16
Survey response — day 7, dose 1
MedDRA: Cough — Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-21
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Injection site erythema, Injection site pruritus, Injection site swelling, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Starting Last Friday-10 days after vac Itching swelling redness at injection site x 4 days. H/A , fatigue and muscle aches x 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 21, dose 1
MedDRA: Injection site pruritus — Feeling: Good

Free text: Intermittent itching at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Good · None

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

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dysphonia — Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Cough and hoarse voice

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: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 7, dose 2
MedDRA: Chest discomfort, Cough — Feeling: Fair · Fatigue or tiredness

Free text: Cough and chest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 14, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Good

Free text: Cough chest congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 21, dose 2
MedDRA: Dizziness, Rhinorrhoea — Feeling: Good

Free text: Dizziness lightheaded Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 35, dose 2
MedDRA: Adverse reaction, Allergic respiratory symptom, Cough, Headache, Nasal congestion, Wheezing — Feeling: Fair

Free text: Severe allergy symptoms. Nasal congestion Headache, cough with wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Good

Free text: Increasing allergy like symptoms. Cough, runny nose,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Arthritis — Feeling: Good

Free text: Increased arthritis symptoms

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-16

Systemic reaction (other): Cough

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Starting Last Friday-10 days after vac Itching swelling redness at injection site x 4 days. H/A , fatigue and muscle aches x 2 days

Release 2 — day 21, dose 1

2021-01-28

Symptoms: Intermittent itching at the injection site

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Cough and hoarse voice

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Cough

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Cough and chest tightness

Release 4 — day 14, dose 2

2021-02-18

Symptoms: Cough chest congestion

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Dizziness lightheaded Runny nose

Release 5 — day 35, dose 2

2021-03-11

Symptoms: Severe allergy symptoms. Nasal congestion Headache, cough with wheezing

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: Increasing allergy like symptoms. Cough, runny nose,

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Increased arthritis symptoms

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	Adverse reaction	✓	·	✓
SD	Allergic respiratory symptom	○	✓	○
SD	Arthritis	·	·	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dysphonia	✓	✓	✓

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