4J7-22575-92758

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 190 / PA
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Pain, Reaction to previous exposure to any vaccine, Swelling, Tenderness — Feeling: Fair · Site: Pain, Redness, Swelling · Be unable to do your normal daily activities

Free text: Very tender where redness swelling is It hurts more than a regular flu vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Injection area still sore but has improved greatly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Free text: Feel like possible cold coming on unless its my allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — day 7, dose 1
MedDRA: Adverse reaction, Hypersensitivity, Nasopharyngitis, Upper-airway cough syndrome — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Post nasal drip, allergy symptoms/cold symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 14, dose 1
MedDRA: Cough, Injection site inflammation, Injection site mass, Injection site pain, Injection site pruritus, Injection site rash, Injection site warmth, Nasopharyngitis, Upper-airway cough syndrome — Feeling: Fair

Free text: Had red inflamed itchy rash where injection site was, warm to touch, still tender, and felt like lump in injection area .... was little bigger than It was when got vaccine... have cold symptoms sinus post nasal drip cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-12
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None as of yet just got 2nd shot at 6:40 pm today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good

Free text: Dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-02-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	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 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Very tender where redness swelling is It hurts more than a regular flu vaccine

2021-01-18

Systemic reaction (other): Injection area still sore but has improved greatly

2021-01-21

Systemic reaction (other): Feel like possible cold coming on unless its my allergies

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): Post nasal drip, allergy symptoms/cold symptoms

Release 3 — day 14, dose 1

2021-01-30

Symptoms: Had red inflamed itchy rash where injection site was, warm to touch, still tender, and felt like lump in injection area .... was little bigger than It was when got vaccine... have cold symptoms sinus post nasal drip cough

Release 4 — day 0, dose 2

2021-02-12

Systemic reaction (other): None as of yet just got 2nd shot at 6:40 pm today

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Dry cough

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	Cough	✓	✓	✓
SD	Injection site inflammation	✓	✓	✓
SD	Injection site mass	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Adverse reaction	✓	·	✓
SRO	Cough	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Hypersensitivity	○	✓	○
SRO	Injection site pain	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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