5MD-18724-14340

2 vaccinations 11 coded responses 19 check-ins 11 free-text entries 6 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 450 / OH
Registered: 2020-12-31

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

2020-12-27
Dose 1 — Moderna
2020-12-31
Registered in v-safe
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease, Rash macular — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Blotchy and Slightly worse acid reflux (haven't needed anything in months and since vaccine - needed some reflux meds)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-01-05
Survey response — day 7, dose 1
MedDRA: Injection site erythema, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Had no symptoms for days and then woke up with redness, swelling at the site and symptoms. I tend to have delayed allergic reactions. (When I react to things, I get a delayed onset of impending doom, dyspnea, wheezing, sore throat/throat closes, hives, etc that becomes rapidly progressive). I have NONE of those symptoms and don't feel it is al allergic reaction. I would know. Just odd.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-17
Survey response — day 21, dose 1
MedDRA: Pruritus, Pyrexia, Self-medication, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: HIVES!!! Acute onset (odd!). Started at site and went over my entire upper arm, neck and other arm. Itched like crazy for almost the entire week and subsided on its own. Continued taking my allergy meds and went away. Low grade fever 99.1, subsided

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-24
Dose 2 — Moderna
2021-01-24
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-01-26
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Asthma, Dyspnoea, Migraine, Neck pain, Pain, Pre-existing disease, Pyrexia, Specialist consultation, Spinal pain, Therapeutic product effect decreased, Wheezing — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work, 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: Systemic reaction (other): Pain in my neck, shoulders, and down my spine. Hip pain. Migraines- minimally responsible to imitrex. Fever resistant to tylenol. Entire body hurts. Shortness of breath and wheezing- started back on inhalers. (Allergy induced asthma- only need inhalers when its triggered). · Healthcare visit (other): Daily checkins with my PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Using Benadryl topical and Pepcid/Benadryl around the clock

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Crepitations, Dyspnoea, Injection site reaction, Oedema, Peripheral swelling, Sensory disturbance — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Allergy induced Asthma- but improving. General dyspnea but oxygen levels normal. Edema and mild crepitus in arm below injection. Weird nerve sensations in hand- likely related to swelling in upper arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-31
Survey response — day 7, dose 2
MedDRA: Pain, Rash, Seasonal allergy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Hay fever symptoms- trends with aches and rash on my arm from this vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — day 14, dose 2
MedDRA: Allergy test, Hypersensitivity, Injection site pruritus, Office visit, Pre-existing disease, Pruritus, Pyrexia, Tinnitus, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Itching on my arms where I had my injections. Hay fever is worse after vaccine. Tinnitus is worse after vaccine. Wheezing a bit. Despite major reaction and cont s/s, would get again · Healthcare visit (other): Outpatient clinic with allergist and allergy testing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 35, dose 2
MedDRA: Attention deficit hyperactivity disorder, Hypersensitivity, Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: ADHD, allergies & HTN

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

1 call case(s)
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-17
Call 1 — Left Voicemail
2021-04-25
Survey response — 3 months, dose 2
MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good

Free text: Worse allergic reactions to things

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-01-24
Survey response — 12 months, dose 2
MedDRA: Abortion spontaneous, Bronchitis, COVID-19, Ear infection, Sinusitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Covid, bronchitis, ear infection and sinus infection Miscarried as well- after a fresh embryo transfer using donor egg

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-01-25
Call 1 — Left Voicemail
2022-01-26
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-27	Moderna
2	2021-01-24	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-17	Unsuccessful
2021-01-26	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-01-27	Successful 2021-06-07	Reported to VAERS voluntarily prior to GDIT contact
2021-02-09	Successful	Participant prefers to complete VAERS report online
2021-03-03	Successful	Participant prefers to complete VAERS report online
2022-01-24	Successful 2022-01-26	Participant prefers to complete VAERS report online

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Blotchy and Slightly worse acid reflux (haven't needed anything in months and since vaccine - needed some reflux meds)

Release 1 — day 7, dose 1

2021-01-05

Systemic reaction (other): Had no symptoms for days and then woke up with redness, swelling at the site and symptoms. I tend to have delayed allergic reactions. (When I react to things, I get a delayed onset of impending doom, dyspnea, wheezing, sore throat/throat closes, hives, etc that becomes rapidly progressive). I have NONE of those symptoms and don't feel it is al allergic reaction. I would know. Just odd.

Release 2 — day 21, dose 1

2021-01-17

Symptoms: HIVES!!! Acute onset (odd!). Started at site and went over my entire upper arm, neck and other arm. Itched like crazy for almost the entire week and subsided on its own. Continued taking my allergy meds and went away. Low grade fever 99.1, subsided cut off by CDC

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Pain in my neck, shoulders, and down my spine. Hip pain. Migraines- minimally responsible to imitrex. Fever resistant to tylenol. Entire body hurts. Shortness of breath and wheezing- started back on inhalers. (Allergy induced asthma- only need inhalers when its triggered).

Healthcare visit (other): Daily checkins with my PCP

2021-01-28

Systemic reaction (other): Using Benadryl topical and Pepcid/Benadryl around the clock

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Allergy induced Asthma- but improving. General dyspnea but oxygen levels normal. Edema and mild crepitus in arm below injection. Weird nerve sensations in hand- likely related to swelling in upper arm.

Release 3 — day 7, dose 2

2021-01-31

Systemic reaction (other): Hay fever symptoms- trends with aches and rash on my arm from this vaccine.

Release 3 — day 14, dose 2

2021-02-09

Symptoms: Itching on my arms where I had my injections. Hay fever is worse after vaccine. Tinnitus is worse after vaccine. Wheezing a bit. Despite major reaction and cont s/s, would get again

Healthcare visit (other): Outpatient clinic with allergist and allergy testing

Release 5 — day 35, dose 2

2021-03-03

Symptoms: ADHD, allergies & HTN

Release 7 — 3 months, dose 2

2021-04-25

Symptoms: Worse allergic reactions to things

Release 11 — 12 months, dose 2

2022-01-24

Symptoms: Covid, bronchitis, ear infection and sinus infection Miscarried as well- after a fresh embryo transfer using donor egg

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	Allergy test	○	✓	○
HCVO	Hypersensitivity	○	✓	○
HCVO	Office visit	✓	·	✓
HCVO	Specialist consultation	✓	✓	✓
SD	Abortion spontaneous	·	·	✓
SD	Attention deficit hyperactivity disorder	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	COVID-19	·	·	✓
SD	Ear infection	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Injection site pruritus	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Urticaria	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Crepitations	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oedema	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash macular	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sensory disturbance	✓	✓	✓
SRO	Spinal pain	✓	✓	✓
SRO	Therapeutic product effect decreased	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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