4JD-13761-92230

5 vaccinations 9 coded responses 29 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 321 / FL
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
Survey response — day 0, dose 1
MedDRA: Skin swelling — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Nausea

Free text: 4-6 minutely raised, but not reddened skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Diarrhea

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Survey response — day 21, dose 1
MedDRA: Breast mass, Contusion, Lymphadenopathy, Skin discolouration — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bruising on limbs and trunk; emerging as old, yellow-green discoloration, like resolving deep tissue injuries. Also, contra lateral lymph node swelling in neck, breast, side, and groin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Dose 2 — Moderna
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Lymphadenopathy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Medical counselling, Pustule — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): An reddened pustule in fold under Left breas · Healthcare visit (other): Nurse Manager on my Rehab Unit visualized area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Pustule — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Same pustule under Left breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Induration, Pain, Pustule — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Pustule continues with increased erythema, hardness, and pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling, Rash — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Rash now on arms as well as legs · Healthcare visit (other): General surgeon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-19
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-07
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
2021-03-19
Survey response — day 35, dose 2
MedDRA: Infected dermal cyst, Postoperative care — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Infected Sebaceous cyst under L breast remains subacute · Healthcare visit (other): Surgeon f/u and three rounds of oral antibx

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-02
Call 1 — Could Not Reach Participant
2021-08-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2022-02-12
Survey response — 12 months, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Lymph swelling from booster in 10/21

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Dose 4 — Moderna
2022-10-12
Dose 5 — Moderna
2022-10-27
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-04-12
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna
3	2021-10-25	Moderna	No
4	2022-05-02	Moderna	No
5	2022-10-12	Moderna	No

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): 4-6 minutely raised, but not reddened skin

Release 3 — day 21, dose 1

2021-02-05

Symptoms: Bruising on limbs and trunk; emerging as old, yellow-green discoloration, like resolving deep tissue injuries. Also, contra lateral lymph node swelling in neck, breast, side, and groin

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Lymphadenopathy

2021-02-14

Systemic reaction (other): An reddened pustule in fold under Left breas

Healthcare visit (other): Nurse Manager on my Rehab Unit visualized area

2021-02-15

Systemic reaction (other): Same pustule under Left breast

2021-02-17

Systemic reaction (other): Pustule continues with increased erythema, hardness, and pain

2021-02-18

Systemic reaction (other): Rash now on arms as well as legs

Healthcare visit (other): General surgeon

Release 5 — day 35, dose 2

2021-03-19

Symptoms: Infected Sebaceous cyst under L breast remains subacute

Healthcare visit (other): Surgeon f/u and three rounds of oral antibx

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: Lymph swelling from booster in 10/21

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	Medical counselling	✓	✓	✓
HCVO	Postoperative care	✓	✓	✓
SD	Breast mass	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Infected dermal cyst	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Skin discolouration	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Induration	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pustule	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Skin swelling	✓	✓	✓

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