676-14306-11811

5 vaccinations 9 coded responses 50 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 920 / CA
Registered: 2021-02-01

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-31
Dose 1 — Moderna
2021-02-01
Registered in v-safe
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-28
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-07
Dose 2 — Moderna
2021-03-07
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Redness, Swelling, Itching

Free text: I have Covid Arm from Moderna Vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Redness, Swelling, Itching · Fever

Free text: Covid Arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-05
Survey response — 6 months, dose 2
MedDRA: Chondrocalcinosis, Office visit, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed with pseudo gout/chronic CPP/CPPD · Healthcare visit (other): Office Visits

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-05
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-10
Call 1 — Left Voicemail
2021-09-26
Dose 3 — Moderna
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-10
Survey response — day 14, dose 3
MedDRA: Arthralgia, Pain, Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I was diagnosed with Rheumatoid Arthritis in my wrists, knee and neckvafter my 2nd vaccine. Since having my booster, the pain in my wrists has increased.

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-14
Call 2 — Left Voicemail
2021-10-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Dose 4 — Moderna
2022-04-14
Survey response — day 14, dose 4
MedDRA: Dizziness, Fatigue, Immunisation reaction, Motion sickness, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Had bad reaction to this last vaccine. Had Covid arm, extreme dizziness (like motion sickness) and some nausea. These systems lasted 4 days. Had Covid arm with my first vaccine and was tired with my 2nd, but never had dizziness or nausea before.

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-28
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-11
Dose 5 — Moderna
Co-administered: Flu
2022-09-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-09-17
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Itching · None

Adult check-in
2022-09-18
Health check-in — day 7, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-09-25
Survey response — day 14, dose 5
MedDRA: Adverse drug reaction — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe hives and itching from pain RX since vaccine and flu shot

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Survey response — day 21, dose 5
MedDRA: Contusion, Haemorrhage, Pruritus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continued itching on arms, scalp and upper torso. Itch do bad causing bleeding and bruises

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Report sent to call center — day 21, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-04
Call 2 — Left Voicemail
2022-10-04
Call 1 — Left Voicemail
2022-10-04
Call 1 — Left Voicemail
2022-10-09
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-16
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-23
Survey response — day 42, dose 5
MedDRA: Immune system disorder, Office visit, Rash, Rash pruritic — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Terrible itchy rash arm, abdomen, chest and back and rear end. Started days after booster on 9/11. Have had many treatments and went to Dermatologist. Determined my immune system went crazy. Still going on for over a month

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Report sent to call center — day 42, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-25
Call 1 — Left Voicemail
2022-12-11
Survey response — 3 months, dose 5
MedDRA: Pneumonia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Had pneumonia

MedDRA releases: 2024-11 · check-in free text available
2022-12-11
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-12
Call 3 — Left Voicemail
2022-12-12
Call 3 — Left Voicemail
2022-12-12
Call 2 — Left Voicemail
2022-12-12
Call 2 — Left Voicemail
2022-12-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-31	Moderna
2	2021-03-07	Moderna
3	2021-09-26	Moderna	No
4	2022-03-29	Moderna	No
5	2022-09-11	Moderna	Flu

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): I have Covid Arm from Moderna Vaccine

2021-03-11

Systemic reaction (other): Covid Arm

Release 9 — 6 months, dose 2

2021-09-05

Symptoms: Diagnosed with pseudo gout/chronic CPP/CPPD

Healthcare visit (other): Office Visits

Release 10 — day 14, dose 3

2021-10-10

Symptoms: I was diagnosed with Rheumatoid Arthritis in my wrists, knee and neckvafter my 2nd vaccine. Since having my booster, the pain in my wrists has increased.

Release 11 — day 14, dose 4

2022-04-14

Symptoms: Had bad reaction to this last vaccine. Had Covid arm, extreme dizziness (like motion sickness) and some nausea. These systems lasted 4 days. Had Covid arm with my first vaccine and was tired with my 2nd, but never had dizziness or nausea before.

Release 12 — day 14, dose 5

2022-09-25

Symptoms: Severe hives and itching from pain RX since vaccine and flu shot

Release 12 — day 21, dose 5

2022-10-02

Symptoms: Continued itching on arms, scalp and upper torso. Itch do bad causing bleeding and bruises

Release 12 — day 42, dose 5

2022-10-23

Symptoms: Terrible itchy rash arm, abdomen, chest and back and rear end. Started days after booster on 9/11. Have had many treatments and went to Dermatologist. Determined my immune system went crazy. Still going on for over a month

Release 12 — 3 months, dose 5

2022-12-11

Symptoms: Had pneumonia

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
HCVO	Office visit	✓	·	✓
SD	Adverse drug reaction	·	·	✓
SD	Arthralgia	·	·	✓
SD	Chondrocalcinosis	✓	·	✓
SD	Contusion	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Haemorrhage	·	·	✓
SD	Immune system disorder	·	·	✓
SD	Immunisation reaction	·	·	✓
SD	Motion sickness	·	·	✓
SD	Nausea	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	·	·	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Rheumatoid arthritis	·	·	✓
SD	Unevaluable event	✓	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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