5QD-33330-14853

2 vaccinations 12 coded responses 16 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 025 / MA
Registered: 2021-08-26

Relationship: Self
Race: Other
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

2021-07-29
Dose 1 — Moderna
2021-08-26
Registered in v-safe
2021-08-26
Dose 2 — Moderna
2021-08-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-08-27
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Feeling hot, Pain in extremity, Peripheral swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Be unable to do your normal daily activities

Free text: ok, so after my first Moderna shot, in my left arm, it got very swollen and hot, red, moderate pain. It passed, and about 2-3 weeks later (before second shot), it started acting-up again! Went away by second shot, which I got yesterday. oops! outta r

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: after my second shot, the site of the first shot (other arm) started acting up!

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Redness, Itching

Free text: THIS IS AT SITE OF FIRST SHOT-AFTER SECOND SHOT!

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site reaction — Feeling: Good · Site: Redness, Itching · Headache

Free text: again, you need to know that its the site of the FIRST shot thats reacting to the second shot. The first shot i had wuite a reaction at site of shot. The second one-virtually nothing. Because i drank the water CDC recommended. :-)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site reaction — Feeling: Good · Site: Redness, Itching · Headache

Free text: ONCE AGAIN, THE SECOND SHOT SITE IS FINE-BUT IT CAUSED THE FIRST SHOT SITE TO REACT

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-02
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-09-10
Survey response — day 14, dose 2
MedDRA: Headache, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus — Feeling: Fair

Free text: headache, on and offshot site (first shot), got itchy, reddish around it, little bit of bruising, some pain

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Survey response — day 21, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities

Free text: it doesnt matter as you never listen

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Survey response — day 28, dose 2
MedDRA: Headache, Injection site reaction, Pruritus — Feeling: Fair · Be unable to do your normal daily activities

Free text: shot sites are still weird. Itchy over body, on and offheadachey on and off

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-10-07
Survey response — day 42, dose 2
MedDRA: Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: my right arm is numb

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — 3 months, dose 2
MedDRA: Depression — Feeling: Fair · Be unable to do your normal daily activities

Free text: depression

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Survey response — 6 months, dose 2
MedDRA: Fatigue, Gastrointestinal disorder, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: achy low fever GI issues, profound fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-08-26
Survey response — 12 months, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: the usual

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-29	Moderna	No
2	2021-08-26	Moderna	No

Free text

Release 9 — days 1–6 daily, dose 2

2021-08-27

Systemic reaction (other): ok, so after my first Moderna shot, in my left arm, it got very swollen and hot, red, moderate pain. It passed, and about 2-3 weeks later (before second shot), it started acting-up again! Went away by second shot, which I got yesterday. oops! outta r cut off by CDC

2021-08-28

Systemic reaction (other): after my second shot, the site of the first shot (other arm) started acting up!

2021-08-29

Systemic reaction (other): THIS IS AT SITE OF FIRST SHOT-AFTER SECOND SHOT!

2021-08-30

Systemic reaction (other): again, you need to know that its the site of the FIRST shot thats reacting to the second shot. The first shot i had wuite a reaction at site of shot. The second one-virtually nothing. Because i drank the water CDC recommended. :-)

2021-08-31

Systemic reaction (other): ONCE AGAIN, THE SECOND SHOT SITE IS FINE-BUT IT CAUSED THE FIRST SHOT SITE TO REACT

Release 9 — day 14, dose 2

2021-09-10

Symptoms: headache, on and offshot site (first shot), got itchy, reddish around it, little bit of bruising, some pain

Release 9 — day 21, dose 2

2021-09-18

Symptoms: it doesnt matter as you never listen

Release 9 — day 28, dose 2

2021-09-24

Symptoms: shot sites are still weird. Itchy over body, on and offheadachey on and off

Release 10 — day 42, dose 2

2021-10-07

Symptoms: my right arm is numb

Release 10 — 3 months, dose 2

2021-11-25

Symptoms: depression

Release 11 — 6 months, dose 2

2022-02-26

Symptoms: achy low fever GI issues, profound fatigue

Release 12 — 12 months, dose 2

2022-08-26

Symptoms: the usual

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	Depression	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Injection site bruising	·	·	✓
SD	Injection site erythema	·	·	✓
SD	Injection site pain	·	·	✓
SD	Injection site pruritus	·	·	✓
SD	Injection site reaction	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	·	·	✓
SD	Pyrexia	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Adverse reaction	✓	·	✓
SRO	Erythema	✓	·	✓
SRO	Feeling hot	✓	·	✓
SRO	Injection site pain	✓	·	✓
SRO	Injection site reaction	✓	·	✓
SRO	Pain in extremity	✓	·	✓
SRO	Peripheral swelling	✓	·	✓

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