53Z-24682-67323

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 6 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 857 / AZ
Registered: 2021-01-21

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-20
Dose 1 — Moderna
2021-01-21
Registered in v-safe
2021-01-27
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-03
Survey response — day 14, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Good

Free text: Sore throat, that makes me feel like I'll have dry cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-17
Survey response — day 28, dose 1
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Right arm / shoulder and thumb pain (same arm where I got vaccine) not sure if it's related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 28, 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
Dose 2 — Moderna
2021-02-18
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Itching · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-04
Survey response — day 14, dose 2
MedDRA: Herpes zoster, Office visit — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed with shingles on right arm where I got the first dose. I developed significant pain two weeks after the first dose, along with raised bumps. · Healthcare visit (other): Saw family physician - same day care

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 14, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Survey response — day 21, dose 2
MedDRA: Contusion, Inflammation, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Got new rash / bruise like symptoms on my lower legs. Told it was inflammatory response.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Survey response — day 28, dose 2
MedDRA: Contusion, Pain, Peripheral swelling — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Leg bruise / swollen. Like pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 28, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Survey response — day 35, dose 2
MedDRA: Alopecia, Contusion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bruising still there on legs, hair loss.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Leg marks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-18	Moderna

Call center

6 call center cases

6 unsuccessful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-03

Symptoms: Sore throat, that makes me feel like I'll have dry cough.

Release 4 — day 28, dose 1

2021-02-17

Symptoms: Right arm / shoulder and thumb pain (same arm where I got vaccine) not sure if it's related.

Release 5 — day 14, dose 2

2021-03-04

Symptoms: Diagnosed with shingles on right arm where I got the first dose. I developed significant pain two weeks after the first dose, along with raised bumps.

Healthcare visit (other): Saw family physician - same day care

Release 5 — day 21, dose 2

2021-03-11

Symptoms: Got new rash / bruise like symptoms on my lower legs. Told it was inflammatory response.

Release 5 — day 28, dose 2

2021-03-18

Symptoms: Leg bruise / swollen. Like pain

Release 6 — day 35, dose 2

2021-03-25

Symptoms: Bruising still there on legs, hair loss.

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Leg marks

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	Office visit	✓	✓	✓
SD	Alopecia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Unevaluable event	✓	✓	✓

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