57M-20983-60681

2 vaccinations 15 coded responses 25 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 302 / GA
Registered: 2021-02-24

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

2021-02-24
Registered in v-safe
2021-02-24
Dose 1 — Moderna
2021-02-24
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Itching

Free text: None so far.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Last night had minor body itching but no rash or hives. Better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Self-medication — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness

Free text: In the middle of the night I started having some itching on my face, legs, chest and back but no hives or rash. Took some diphenhydramine and it is better today..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Self-medication — Feeling: Good · Site: Redness · Fatigue or tiredness

Free text: Still have some mild itching on my face and leg today but no rash or hives. Took some diphenhydramine and the itching is mostly gone this evening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Redness

Free text: Still having some minor itching on my face and scalp on and off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 7, dose 1
MedDRA: Contusion, Office visit — Feeling: Fair · Site: Redness · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Unexplained bruising developed on my lower right forearm. Saw Urgent Care today and they said if I got multiple more unexplained bruising areas on other parts of my body to go to the ER for additional testing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction, Injection site swelling, Pruritus — Feeling: Good

Free text: I had redness, swelling,itching and pain at the injection site starting on the 1st day. Area improved after 4 days. On the 9th day I had the same reaction at the injection site but more intense. I also still have minor itching on my face but no rash.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-24
Dose 2 — Moderna
2021-03-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Hyperhidrosis — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: Sweating and lots of stomach cramping.!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Abdominal pain

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: My normal temperature is between 96.0 and 97.7 degrees. Forgot to include this information in previous report.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Rash and redness developed on the opposite arm yesterday where I had received the 1st injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-31
Survey response — day 7, dose 2
MedDRA: Pruritus, Rash — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site

Free text: Still have mild rash and mild itching on arm where I got the 1st injection. Had some minor itching on face but no rash.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 14, dose 2
MedDRA: Erythema, Fatigue, Pruritus — Feeling: Good · Be unable to do your normal daily activities

Free text: Still have some itching and redness on and off on both arms from the first and second vaccine injections. Also still experience some fatigue and being really tired on some days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 21, dose 2
MedDRA: Muscular weakness, Pruritus — Feeling: Good

Free text: Still have some itching on and off on both arms but no more redness or rash. Also still have some minor muscle weakness on left arm where I received the first vaccine shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 28, dose 2
MedDRA: Fatigue, Pruritus — Feeling: Good

Free text: Still have some mild itching on my arms on and off. Also still get really tired on some days too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Call 1 — Left Voicemail
2021-09-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-24
Survey response — 12 months, dose 2
MedDRA: COVID-19, Gallbladder disorder, Gastrointestinal disorder — Feeling: Fair · 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: Had a case of COVID in mid January 2022 for about 3 weeks. Had COVID booster 22 December 2021. Have also developed some digestive issues with my gallbladder.

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-24	Moderna

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-24

Systemic reaction (other): None so far.

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): Last night had minor body itching but no rash or hives. Better today.

2021-02-28

Systemic reaction (other): In the middle of the night I started having some itching on my face, legs, chest and back but no hives or rash. Took some diphenhydramine and it is better today..

2021-03-01

Systemic reaction (other): Still have some mild itching on my face and leg today but no rash or hives. Took some diphenhydramine and the itching is mostly gone this evening.

2021-03-02

Systemic reaction (other): Still having some minor itching on my face and scalp on and off.

Release 5 — day 7, dose 1

2021-03-03

Systemic reaction (other): Unexplained bruising developed on my lower right forearm. Saw Urgent Care today and they said if I got multiple more unexplained bruising areas on other parts of my body to go to the ER for additional testing.

Release 5 — day 14, dose 1

2021-03-10

Symptoms: I had redness, swelling,itching and pain at the injection site starting on the 1st day. Area improved after 4 days. On the 9th day I had the same reaction at the injection site but more intense. I also still have minor itching on my face but no rash. cut off by CDC

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): Sweating and lots of stomach cramping.!

2021-03-27

Systemic reaction (other): My normal temperature is between 96.0 and 97.7 degrees. Forgot to include this information in previous report.

2021-03-28

Systemic reaction (other): Rash and redness developed on the opposite arm yesterday where I had received the 1st injection.

Release 6 — day 7, dose 2

2021-03-31

Systemic reaction (other): Still have mild rash and mild itching on arm where I got the 1st injection. Had some minor itching on face but no rash.

Release 7 — day 14, dose 2

2021-04-08

Symptoms: Still have some itching and redness on and off on both arms from the first and second vaccine injections. Also still experience some fatigue and being really tired on some days.

Release 7 — day 21, dose 2

2021-04-14

Symptoms: Still have some itching on and off on both arms but no more redness or rash. Also still have some minor muscle weakness on left arm where I received the first vaccine shot.

Release 7 — day 28, dose 2

2021-04-22

Symptoms: Still have some mild itching on my arms on and off. Also still get really tired on some days too.

Release 11 — 12 months, dose 2

2022-03-24

Symptoms: Had a case of COVID in mid January 2022 for about 3 weeks. Had COVID booster 22 December 2021. Have also developed some digestive issues with my gallbladder.

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	COVID-19	·	·	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gallbladder disorder	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site reaction	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Pruritus	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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