5CF-32271-45655

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 294 / SC
Registered: 2021-02-09

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

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Moderna
2021-02-09
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pruritus, Nasal congestion, Ocular hyperaemia — Feeling: Good · Fatigue or tiredness

Free text: Red eyes, itchy ears( inside res) stuffy nose about 5 pm

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

Free text: mild L.arm muscle discomfort when turning in my sleep -stopped by morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Survey response — day 7, dose 1
MedDRA: Injection site pruritus, Injection site rash, Injection site swelling, Skin warm — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: 3 itchy slightly raised, warm to the touch, vertical spots on my arm at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 14, dose 1
MedDRA: Ear congestion, Epistaxis, Hypersensitivity, Injection, Injection site erythema, Injection site pruritus, Pre-existing disease, Pruritus — Feeling: Good

Free text: A stuffy,, blocked left ear for a few days and slightly bloody nose when I woke up. The 2.5x4 red itchy spot at the injection, left arm, has gone away. I do have a history of allergies from childhood.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-09
Dose 2 — Moderna
2021-03-09
Survey response — day 0, dose 2
MedDRA: Dizziness, Headache — Feeling: Good · Headache, Fatigue or tiredness

Free text: mild headache and mild dizzyness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature decreased — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: low temp 96.2

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

Free text: I sat in the sun for a short time, the heat made the symptoms comeback-very tired my advise-do not sit in the sun 1st nor 2nd day after the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion, Office visit — Feeling: Fair · Site: Redness · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Purple Bruising to left big toe on each side of the toe. Blood testes were run for Platelets. · Healthcare visit (other): IN (b)(6)., Urgent Care, Emergency Health First /order per my PCP in (b)(6).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: yes left toe is bruised, MD ordered a blood test. bruising not gone away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion — Feeling: Good · Fatigue or tiredness

Free text: Bruises on either side of my big toe are still there-is this an expected side effect?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-13
Call 1 — Left Voicemail
2022-03-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-09	Moderna

Call center

2 call center cases

2 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

2021-02-10

Systemic reaction (other): Red eyes, itchy ears( inside res) stuffy nose about 5 pm

2021-02-11

Systemic reaction (other): mild L.arm muscle discomfort when turning in my sleep -stopped by morning.

Release 4 — day 7, dose 1

2021-02-17

Systemic reaction (other): 3 itchy slightly raised, warm to the touch, vertical spots on my arm at the injection site

Release 4 — day 14, dose 1

2021-02-23

Symptoms: A stuffy,, blocked left ear for a few days and slightly bloody nose when I woke up. The 2.5x4 red itchy spot at the injection, left arm, has gone away. I do have a history of allergies from childhood.

Release 5 — day 0, dose 2

2021-03-09

Systemic reaction (other): mild headache and mild dizzyness

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): low temp 96.2

2021-03-11

Systemic reaction (other): I sat in the sun for a short time, the heat made the symptoms comeback-very tired my advise-do not sit in the sun 1st nor 2nd day after the shot

2021-03-12

Systemic reaction (other): Purple Bruising to left big toe on each side of the toe. Blood testes were run for Platelets.

Healthcare visit (other): IN (b)(6)., Urgent Care, Emergency Health First /order per my PCP in (b)(6).

redacted (b)(6)

2021-03-13

Systemic reaction (other): yes left toe is bruised, MD ordered a blood test. bruising not gone away.

2021-03-14

Systemic reaction (other): Bruises on either side of my big toe are still there-is this an expected side effect?

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	Ear congestion	✓	·	✓
SD	Epistaxis	✓	✓	✓
SD	Hypersensitivity	○	✓	○
SD	Injection	○	✓	○
SD	Injection site erythema	✓	·	✓
SD	Injection site pruritus	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pruritus	○	✓	○
SRO	Body temperature decreased	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pruritus	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Muscle discomfort	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Skin warm	✓	✓	✓

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