4VC-18921-60416

2 vaccinations 9 coded responses 14 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 957 / CA
Registered: 2021-02-12

Relationship: Self
Race: Native Hawaiian or other Pacific Islander
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-12
Registered in v-safe
2021-02-12
Dose 1 — Moderna
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dyspnoea, Upper respiratory tract irritation — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: SOB, cough, irritated upper respiratory airway

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dyspnoea, Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to work

Free text: Cough and slight SOB, Numbness and tingling arms and hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Lymphoedema, Pre-existing disease — Feeling: Fair · Site: Swelling · Headache, Joint pains · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Flare up /exacerbated Lymphadema

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-02-18
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-21
Survey response — day 7, dose 1
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Site: Swelling · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lymphadema exacerbation from first injection to left deltoid. Nurse manager at vaccination clinic in (b)(6) has not allowed me to get injection to leg stating preferred site is upper arm . Explained I suffer from Lymphadema s/p bilateral mastectomy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Survey response — day 14, dose 1
MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Possible ascities, sob and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Dose 2 — Moderna
2021-03-12
Survey response — day 0, dose 2
MedDRA: Muscle tightness, Myalgia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Muscle Pain and tightness to left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Enlarged and painful lymph nodes to right groin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal discomfort, Swelling — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: Swollen and tender to touch right groin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness · Fatigue or tiredness

Free text: Right groin swelling of lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-10
Call 1 — Left Voicemail
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna

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 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): SOB, cough, irritated upper respiratory airway

2021-02-15

Systemic reaction (other): Cough and slight SOB, Numbness and tingling arms and hands

2021-02-17

Systemic reaction (other): Flare up /exacerbated Lymphadema

Release 4 — day 7, dose 1

2021-02-21

Systemic reaction (other): Lymphadema exacerbation from first injection to left deltoid. Nurse manager at vaccination clinic in (b)(6) has not allowed me to get injection to leg stating preferred site is upper arm . Explained I suffer from Lymphadema s/p bilateral mastectomy

redacted (b)(6)

Release 4 — day 14, dose 1

2021-02-26

Symptoms: Possible ascities, sob and fatigue

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): Muscle Pain and tightness to left arm

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Enlarged and painful lymph nodes to right groin

2021-03-16

Systemic reaction (other): Swollen and tender to touch right groin

2021-03-17

Systemic reaction (other): Right groin swelling of lymph nodes

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	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site oedema	○	○	○
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Lymphoedema	✓	✓	✓
SRO	Medical counselling	○	○	○
SRO	Muscle tightness	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Oedema	○	○	○
SRO	Office visit	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Upper respiratory tract irritation	✓	✓	✓

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