5PM-15018-57678

2 vaccinations 8 coded responses 19 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 113 / NY
Registered: 2021-04-04

Relationship: Self
Race: Asian
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

2021-03-26
Dose 1 — Moderna
2021-04-04
Registered in v-safe
2021-04-04
Survey response — day 7, dose 1
MedDRA: Injection site induration, Injection site swelling — Feeling: Good · Site: Swelling

Free text: Swollen and hardness about 1.5 inches long near injection site a week later.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 14, dose 1
MedDRA: Dizziness, Headache, Induration, Pruritus, Swelling, Vertigo — Feeling: Good

Free text: I had a few mild headaches and dizziness/vertigo in the last week but nothing major. And the itchy, hard swelling, which happened 8 days after injection, is slowly fading now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-23
Survey response — day 0, dose 2
MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches

Free text: Very mildly sore arm so far. Don't know if that counts as body aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal sensation in eye, Eye discharge, Eye pain, Sensitive skin — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hot,sticky, sore eyes & sensitive skin, even the slightest touch feels like sandpaper

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still some soreness around the eyes

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

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: I suddenly feel tired today for no apparent reason, since I got enough sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Survey response — day 14, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: I had a sudden resurge of itchiness in that same patch, but it only lasted a day and went away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 21, dose 2
MedDRA: Burning sensation — Feeling: Good

Free text: Today: First a burning sensation on the backs of my hands when washing hands, then weird red bumps. Not sure if it's related to vaccine or something else caused it. Neosporin seems to be helping.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-23	Moderna

Free text

Release 6 — day 7, dose 1

2021-04-04

Systemic reaction (other): Swollen and hardness about 1.5 inches long near injection site a week later.

Release 7 — day 14, dose 1

2021-04-09

Symptoms: I had a few mild headaches and dizziness/vertigo in the last week but nothing major. And the itchy, hard swelling, which happened 8 days after injection, is slowly fading now.

Release 7 — day 0, dose 2

2021-04-23

Systemic reaction (other): Very mildly sore arm so far. Don't know if that counts as body aches.

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Hot,sticky, sore eyes & sensitive skin, even the slightest touch feels like sandpaper

2021-04-25

Systemic reaction (other): Still some soreness around the eyes

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): I suddenly feel tired today for no apparent reason, since I got enough sleep.

Release 8 — day 14, dose 2

2021-05-07

Symptoms: I had a sudden resurge of itchiness in that same patch, but it only lasted a day and went away.

Release 8 — day 21, dose 2

2021-05-14

Symptoms: Today: First a burning sensation on the backs of my hands when washing hands, then weird red bumps. Not sure if it's related to vaccine or something else caused it. Neosporin seems to be helping.

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	Burning sensation	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Induration	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Abnormal sensation in eye	✓	✓	✓
SRO	Eye discharge	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓

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