546-28028-48707

4 vaccinations 5 coded responses 32 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 905 / CA
Registered: 2021-01-22

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Top Left thigh skin is tingly when touched. Has been since injection but did not think it was related but has not gone away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Sensitive skin — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Left thigh skin is still sensitive

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 7, dose 1
MedDRA: Nodule, Pain in extremity, Skin sensitisation — Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: I noticed a sore on the underside of my left thigh several days ago and today it became painful. It may be causing the sensitivity of the skin on the topside of left thigh. Neither seem to be waning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 14, dose 1
MedDRA: Analgesic drug level, Asthma, Cough, Myalgia, Pre-existing disease, Wheezing — Feeling: Good

Free text: Had a lot of muscle ache. Took extra strength Tylenol for 3 days (2x/day). Asthma is a little worse. Wheezing and coughing more than norm. Better today though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-02-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Cough — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Rattle in chest with cough. Clears with inhaler

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
Co-administered: Flu
2022-03-02
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-13
Dose 4 — Moderna
2022-04-24
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-12
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-27	Moderna
3	2021-10-25	Moderna	Flu
4	2022-04-13	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Top Left thigh skin is tingly when touched. Has been since injection but did not think it was related but has not gone away.

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Left thigh skin is still sensitive

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): I noticed a sore on the underside of my left thigh several days ago and today it became painful. It may be causing the sensitivity of the skin on the topside of left thigh. Neither seem to be waning.

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Had a lot of muscle ache. Took extra strength Tylenol for 3 days (2x/day). Asthma is a little worse. Wheezing and coughing more than norm. Better today though.

Release 4 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Rattle in chest with cough. Clears with inhaler

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	Analgesic drug level	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Nodule	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓
SRO	Skin sensitisation	✓	✓	✓

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