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5P3-26395-31403

5 vaccinations 8 coded responses 47 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
026 / MA
Registered
2021-03-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-27
    Dose 1 — Moderna
  2. 2021-03-08
    Registered in v-safe
  3. 2021-03-08
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  4. 2021-03-13
    Survey response — day 14, dose 1
    MedDRA: Erythema, Genital erythema, Genital swelling, Genital tract inflammation, Peripheral swelling, Pruritus, Pruritus genital — Feeling: Good
    Free text: On Day 5 or 6 post vaccination I experienced swelling/redness/itching of external genitalia. It resolved after a few days, but by then my right upper arm had become swollen/red/itchy. Originally described as moderate, but severe might be more accur
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-25
    Dose 2 — Moderna
  7. 2021-03-25
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Pain
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Malaise, Pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Pain 7 hrs post; other 12hrs post; still sick 24 hrs post
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  10. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  13. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-01
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  15. 2021-04-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-29
    Survey response — day 35, dose 2
    MedDRA: Muscle spasms, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Back injury with muscle spasm. Likely unrelated to vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-11-08
    Dose 3 — Moderna
  23. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  24. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  25. 2021-11-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  26. 2021-11-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  27. 2021-11-15
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  28. 2021-11-22
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-11-29
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-06
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-13
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-20
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-02-07
    Survey response — 3 months, dose 3
    MedDRA: Hypersensitivity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Allergic reactions to unknown substances: ? OJ, ? New laundry detergent? ?water in campground. Trying elimination diet and another laundry detergent
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-02-07
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  35. 2022-02-09
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  36. 2022-04-02
    Dose 4 — Moderna
  37. 2022-04-19
    Survey response — day 14, dose 4
    MedDRA: Decreased appetite, Headache, Hypersomnia, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: 04/03/22: fever, body aches, headache, poor appetite, slept almost round the clock
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-04-24
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-04-30
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-05-08
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-05-14
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-07-02
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-09-29
    Dose 5 — Moderna
    Co-administered: Flu
  44. 2022-10-01
    Survey response — 6 months, dose 4
    MedDRA: Asthenia, Fatigue, Immunisation reaction — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Moderna vaccine 09/29/22. Covid arm upper right injection site. Mod-Severe fatigue, decrease energy and stamina.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-10-03
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  46. 2022-10-04
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  47. 2022-10-05
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  48. 2022-10-06
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  49. 2022-10-13
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  50. 2022-10-20
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  51. 2022-10-27
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  52. 2022-11-03
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  53. 2022-11-10
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  54. 2022-12-29
    Survey response — 3 months, dose 5
    MedDRA: Unevaluable event — Feeling: Good
    Free text: I believe I had RSV, lasting about 2 1/2 weeks. Now resolved.
    MedDRA releases: 2024-11 · check-in free text available
  55. 2023-03-30
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-27Moderna
22021-03-25Moderna
32021-11-08Moderna No
42022-04-02Moderna No
52022-09-29Moderna Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-13

Symptoms: On Day 5 or 6 post vaccination I experienced swelling/redness/itching of external genitalia. It resolved after a few days, but by then my right upper arm had become swollen/red/itchy. Originally described as moderate, but severe might be more accur cut off by CDC

Release 6 — day 0, dose 2

2021-03-25

Systemic reaction (other): None

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Pain 7 hrs post; other 12hrs post; still sick 24 hrs post

Release 8 — day 35, dose 2

2021-04-29

Symptoms: Back injury with muscle spasm. Likely unrelated to vaccination

Release 11 — 3 months, dose 3

2022-02-07

Symptoms: Allergic reactions to unknown substances: ? OJ, ? New laundry detergent? ?water in campground. Trying elimination diet and another laundry detergent

Release 11 — day 14, dose 4

2022-04-19

Symptoms: 04/03/22: fever, body aches, headache, poor appetite, slept almost round the clock

Release 12 — 6 months, dose 4

2022-10-01

Symptoms: Moderna vaccine 09/29/22. Covid arm upper right injection site. Mod-Severe fatigue, decrease energy and stamina.

Release 12 — 3 months, dose 5

2022-12-29

Symptoms: I believe I had RSV, lasting about 2 1/2 weeks. Now resolved.

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

FieldPreferred term2021-092023-042024-11
SDAsthenia · · ✓
SDDecreased appetite · · ✓
SDErythema ✓ · ✓
SDFatigue · · ✓
SDGenital erythema ✓ · ✓
SDGenital swelling ✓ · ✓
SDGenital tract inflammation ○ ✓ ○
SDHeadache · · ✓
SDHypersensitivity · · ✓
SDHypersomnia · · ✓
SDImmunisation reaction · · ✓
SDMuscle spasms ✓ ✓ ✓
SDPain · · ✓
SDPeripheral swelling ✓ · ✓
SDPre-existing disease ✓ ✓ ✓
SDPruritus ✓ · ✓
SDPruritus genital ✓ · ✓
SDPyrexia · · ✓
SDUnevaluable event · · ✓
SROMalaise ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓

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