63X-81446-42216

4 vaccinations 5 coded responses 38 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 439 / OH
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site nodule, Injection site pain, Injection site swelling, Pain — Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Free text: My arm is just sore to the touch around the area of the shot, with occasional thrubing at and around the injectiono site. Sweeling in now just a tiny knot at the injection site. Over all, I have not had any major site effects with Mederna Vaccine shot #1. Second shot scheduled for April 16, 2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Itching · Muscle or body aches

Free text: Minor pain to touch at and around injection area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Tenderness — Feeling: Good · Site: Itching

Free text: Still mildly sore to the touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Dyspnoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-11-24
Dose 3 — Moderna
2022-04-13
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-06
Dose 4 — Moderna
2022-05-06
Survey response — day 0, dose 4
MedDRA: Injection site pain, Injection site reaction, Muscle fatigue — Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Free text: The muscle at and around the injection site is fatigued/sore.

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-13
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-11-06
Health check-in — 6 months, dose 4
Feeling: Poor

Adult check-in
2023-05-08
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2021-11-24	Moderna	No
4	2022-05-06	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): My arm is just sore to the touch around the area of the shot, with occasional thrubing at and around the injectiono site. Sweeling in now just a tiny knot at the injection site. Over all, I have not had any major site effects with Mederna Vaccine shot #1. Second shot scheduled for April 16, 2021

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Minor pain to touch at and around injection area

2021-04-19

Systemic reaction (other): Still mildly sore to the touch

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Shortness of breath

Release 11 — day 0, dose 4

2022-05-06

Systemic reaction (other): The muscle at and around the injection site is fatigued/sore.

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	Dyspnoea	✓	✓	✓
SRO	Injection site nodule	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site reaction	·	·	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Muscle fatigue	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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