4MZ-29581-47253

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 995 / AK
Registered: 2021-02-20

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

2021-02-19
Dose 1 — Moderna
2021-02-20
Registered in v-safe
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-05
Survey response — day 14, dose 1
MedDRA: Erythema, Feeling hot, Pruritus — Feeling: Good

Free text: On the eighth day. I got a red spot that is hot and itches frequently and was not comfortable when I tried sleeping on my side. It has moved and widened since.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 21, dose 1
MedDRA: Axillary pain, Insomnia, Limb discomfort — Feeling: Good · Be unable to do your normal daily activities

Free text: The hardness circled my arm and affected the armpit. Quite uncomfortable and painful if I rolled over on my side at night...causing sleeplessness fir two nights.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Dose 2 — Moderna
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Seems like all aches are on left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itching on back kidney area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Itching in back kidney area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Survey response — day 14, dose 2
MedDRA: Pain — Feeling: Fair

Free text: Ive been feeling achy like the flu but dont have a fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 21, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Be unable to work

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-17
Survey response — 6 months, dose 2
MedDRA: Fatigue, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I tire more easily. Even when Im eating better foods and getting rest. · Healthcare visit (other): I took vitamin and electrolytes via IV.

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna
2	2021-03-19	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-05

Symptoms: On the eighth day. I got a red spot that is hot and itches frequently and was not comfortable when I tried sleeping on my side. It has moved and widened since.

Release 5 — day 21, dose 1

2021-03-13

Symptoms: The hardness circled my arm and affected the armpit. Quite uncomfortable and painful if I rolled over on my side at night...causing sleeplessness fir two nights.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Seems like all aches are on left side

2021-03-21

Systemic reaction (other): Itching on back kidney area

2021-03-22

Systemic reaction (other): Itching in back kidney area

Release 6 — day 14, dose 2

2021-04-02

Symptoms: Ive been feeling achy like the flu but dont have a fever

Release 7 — day 21, dose 2

2021-04-09

Symptoms: Brain fog

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: I tire more easily. Even when Im eating better foods and getting rest.

Healthcare visit (other): I took vitamin and electrolytes via IV.

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	Unevaluable event	·	·	✓
SD	Axillary pain	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pruritus	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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