4ZT-69245-53384

3 vaccinations 9 coded responses 19 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 182 / PA
Registered: 2021-04-15

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

2021-04-07
Dose 1 — Moderna
2021-04-15
Registered in v-safe
2021-04-15
Health check-in — day 7, dose 1
Feeling: Fair · Site: Redness, Itching · None

Adult check-in
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-05
Dose 2 — Moderna
2021-05-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Breast tenderness, Heavy menstrual bleeding — Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My period was late this cycle which never happens. I also experienced extreme breast tenderness for about a week prior to it beginning which is also unusual for me. I am currently on day 5 of my period and the flow has been very heavy, which is also not normal for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Feeling hot, Pain in extremity, Peripheral swelling — Feeling: Poor · Site: Pain, Itching · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: I have a golf ball sized swelling in my inner bicep area that is extremely painful, hot and very red.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Feeling hot, Oedema peripheral, Pain in extremity — Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: I continue to have the swollen, painful, red and hot area in my bicep area, not near injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion, Erythema, Pain in extremity, Peripheral swelling — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Swollen red area on inside of upper bicep is still present. Small bruises are appearing in that area as well now but pain is less.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle swelling, Tenderness — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Swollen red area on inner bicep is still visible. Painful to touch but getting better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-19
Survey response — day 14, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Fair

Free text: Muscle & joint aches have been present daily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-16
Survey response — day 42, dose 2
MedDRA: Muscle fatigue, Muscular weakness — Feeling: Poor · Be unable to do your normal daily activities

Free text: Muscle weakness and fatigue in arms and legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-04
Survey response — 3 months, dose 2
MedDRA: Alopecia, Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lightheadedness and hair loss

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-03
Survey response — 6 months, dose 2
MedDRA: Alopecia, Anxiety, Lymphadenopathy, Musculoskeletal stiffness, Myalgia, Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Vertigo, swollen lymph nodes, anxiety, hair loss, muscle pain/stiffness

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-04
Call 1 — Left Voicemail
2021-11-14
Dose 3 — Moderna
2022-05-17
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna
3	2021-11-14	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): My period was late this cycle which never happens. I also experienced extreme breast tenderness for about a week prior to it beginning which is also unusual for me. I am currently on day 5 of my period and the flow has been very heavy, which is also not normal for me.

2021-05-07

Systemic reaction (other): I have a golf ball sized swelling in my inner bicep area that is extremely painful, hot and very red.

2021-05-08

Systemic reaction (other): I continue to have the swollen, painful, red and hot area in my bicep area, not near injection site.

2021-05-09

Systemic reaction (other): Swollen red area on inside of upper bicep is still present. Small bruises are appearing in that area as well now but pain is less.

2021-05-10

Systemic reaction (other): Swollen red area on inner bicep is still visible. Painful to touch but getting better.

Release 8 — day 14, dose 2

2021-05-19

Symptoms: Muscle & joint aches have been present daily

Release 9 — day 42, dose 2

2021-06-16

Symptoms: Muscle weakness and fatigue in arms and legs

Release 9 — 3 months, dose 2

2021-08-04

Symptoms: Lightheadedness and hair loss

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: Vertigo, swollen lymph nodes, anxiety, hair loss, muscle pain/stiffness

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	Alopecia	✓	·	✓
SD	Anxiety	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Dizziness	✓	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Muscle fatigue	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Breast tenderness	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Muscle swelling	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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