5RT-27844-77583

4 vaccinations 7 coded responses 38 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 947 / CA
Registered: 2020-12-31

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Peripheral swelling, Tenderness — Feeling: Poor · Site: Pain · 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 work, Be unable to do your normal daily activities

Free text: There is a red, very tender, swollen bump on my arm abut 2 inches below the injection site. It has been very uncomfortable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site pain, Injection site swelling — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: I continue to have a big, red, tender, swollen bump 1-2 inches below my injection site. It has changed form and extended toward my arm pit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site pain, Injection site swelling — Feeling: Fair · Fatigue or tiredness

Free text: I still have pain, redness, swelling and now itching about 2 inches below the injection site. It is getting better today and dissipating, but it is still bothersome.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site pain, Injection site swelling, Tenderness — Feeling: Good · Site: Pain

Free text: I still have a red bump that is receding below the actual injection site. It is tender, but it is much better than it was initially.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Injection site pruritus, Injection site swelling — Feeling: Good · Headache

Free text: I still have some pain, redness swelling and itching about 1-2 inches below the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site pain, Injection site swelling — Feeling: Good

Free text: I still have slight tenderness where I had a red, painful bump 1-2 inches below the injection site l.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-23
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: A little bit of dizziness.

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Itching · Headache

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-29
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Dose 4 — Moderna
2022-04-22
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-30
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-03
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-28	Moderna
3	2021-10-22	Moderna	No
4	2022-04-01	Moderna	No

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): There is a red, very tender, swollen bump on my arm abut 2 inches below the injection site. It has been very uncomfortable.

2021-01-30

Systemic reaction (other): I continue to have a big, red, tender, swollen bump 1-2 inches below my injection site. It has changed form and extended toward my arm pit.

2021-01-31

Systemic reaction (other): I still have pain, redness, swelling and now itching about 2 inches below the injection site. It is getting better today and dissipating, but it is still bothersome.

2021-02-01

Systemic reaction (other): I still have a red bump that is receding below the actual injection site. It is tender, but it is much better than it was initially.

2021-02-02

Systemic reaction (other): I still have some pain, redness swelling and itching about 1-2 inches below the injection site.

2021-02-03

Systemic reaction (other): I still have slight tenderness where I had a red, painful bump 1-2 inches below the injection site l.

Release 10 — days 1–6 daily, dose 3

2021-10-23

Systemic reaction (other): A little bit of dizziness.

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
SRO	Dizziness	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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