5J4-12503-54149

4 vaccinations 5 coded responses 27 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 955 / CA
Registered: 2021-02-13

Relationship: Self
Race: White
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

2021-02-13
Registered in v-safe
2021-02-13
Dose 1 — Moderna
2021-02-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Survey response — day 14, dose 1
MedDRA: Injection site rash, Injection site warmth, Rash erythematous, Rash papular, Rash pruritic — Feeling: Good

Free text: Hot, red, raised, itchy rash surrounding injection site. Developed in the evening after last check in and was approximately the size of my whole hand. Resolved after 3-4 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-20
Dose 2 — Moderna
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Musculoskeletal chest pain, Painful respiration — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain in right chest...like a pulled muscle. Worse with deep breaths but constant. On chest wall under breast, not lung.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal chest pain — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Still have right chest wall pain with deep inhale. Feels like a pulled muscle but didn't pull the muscle. Less intense than yesterday. Opposite side of body from vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Tendinous contracture, Tendon discomfort — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Right Achilles tendon locking up intermittently

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 7, dose 2
MedDRA: Hyporeflexia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Achilles tendon is locking up intermittently

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-03-20
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-11
Dose 4 — Moderna
2022-10-10
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Moderna
2	2021-03-20	Moderna
3	2021-11-09	Pfizer-BioNTech	Flu
4	2022-04-11	Moderna	No

Free text

Release 4 — day 14, dose 1

2021-02-28

Symptoms: Hot, red, raised, itchy rash surrounding injection site. Developed in the evening after last check in and was approximately the size of my whole hand. Resolved after 3-4 days.

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Pain in right chest...like a pulled muscle. Worse with deep breaths but constant. On chest wall under breast, not lung.

2021-03-23

Systemic reaction (other): Still have right chest wall pain with deep inhale. Feels like a pulled muscle but didn't pull the muscle. Less intense than yesterday. Opposite side of body from vaccine.

2021-03-26

Systemic reaction (other): Right Achilles tendon locking up intermittently

Release 6 — day 7, dose 2

2021-03-27

Systemic reaction (other): Achilles tendon is locking up intermittently

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	Injection site rash	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash papular	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Hyporeflexia	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Painful respiration	✓	✓	✓
SRO	Tendinous contracture	✓	·	✓
SRO	Tendon discomfort	○	✓	○
SRO	Tendon disorder	○	·	○

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