677-71014-84280

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 019 / MA
Registered: 2020-12-31

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

2020-12-30
Dose 1 — Moderna
2020-12-31
Registered in v-safe
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

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

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

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: Rhinorrhea and slight sore throat both mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-27
Survey response — day 0, dose 2
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Headache

Free text: Extremely metallic taste in my mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling, Itching · Joint pains

Free text: I neglected to mention the yesterday morning I noted a large area of swelling on left side in my armpit . It was very sore. I used Tylenol an warm soak . It decreased over the day and today is 25cent size I was quite large like diameter of tennis ball.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-03
Survey response — day 7, dose 2
MedDRA: Injection site pruritus, Pruritus, Self-medication — Feeling: Good · Site: Itching

Free text: Itching on left arm is now all over not just at injection site area. Very itchy using otc topical hydrocortisone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 28, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: The arm where I had injection is very itchy again . Not a big deal but annoying . Mostly near site but actually does extend doe to hand at times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-10
Survey response — day 42, dose 2
MedDRA: Injection site pruritus — Feeling: Good

Free text: The intermittent arm itching is back. Definitely around injection site it is itchier but does spread beyond down to hand at times. As I said prior not bad just annoying

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Hospitalisation, Oxygen saturation increased, Pulse pressure abnormal, SARS-CoV-2 test negative — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Admitted and evaluated for SOB and pulse oximetry in mid to high 80s intermittent. Neg Covid x 3 testNeg PE Work up is still continuing as SOB intermittent but not as acute.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Immunisation reaction — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Got do with COVID toes . No symptoms except toes that looked like COVID toes. Resolved over 3 weeks or so.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call 1 — Left Voicemail
2022-01-29
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): Rhinorrhea and slight sore throat both mild

Release 2 — day 0, dose 2

2021-01-27

Systemic reaction (other): Extremely metallic taste in my mouth

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): I neglected to mention the yesterday morning I noted a large area of swelling on left side in my armpit . It was very sore. I used Tylenol an warm soak . It decreased over the day and today is 25cent size I was quite large like diameter of tennis ball.

Release 3 — day 7, dose 2

2021-02-03

Systemic reaction (other): Itching on left arm is now all over not just at injection site area. Very itchy using otc topical hydrocortisone

Release 4 — day 28, dose 2

2021-02-24

Symptoms: The arm where I had injection is very itchy again . Not a big deal but annoying . Mostly near site but actually does extend doe to hand at times.

Release 5 — day 42, dose 2

2021-03-10

Symptoms: The intermittent arm itching is back. Definitely around injection site it is itchier but does spread beyond down to hand at times. As I said prior not bad just annoying

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Admitted and evaluated for SOB and pulse oximetry in mid to high 80s intermittent. Neg Covid x 3 testNeg PE Work up is still continuing as SOB intermittent but not as acute.

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: Got do with COVID toes . No symptoms except toes that looked like COVID toes. Resolved over 3 weeks or so.

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	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Immunisation reaction	✓	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Oxygen saturation increased	✓	·	✓
SD	Pruritus	✓	✓	✓
SD	Pulse pressure abnormal	○	✓	○
SD	SARS-CoV-2 test negative	✓	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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