68D-12544-62203

4 vaccinations 12 coded responses 34 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 330 / FL
Registered: 2021-01-15

Relationship: Self
Race: White
Ethnicity: 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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Survey response — day 0, dose 1
MedDRA: Pruritus, Tongue pruritus — Feeling: Good · Site: Pain · Headache

Free text: Very mild itching on right side of tongue & right hand palm that went away right away. Received injection in right arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Swelling · Chills

Free text: Had itching on palm of hand & soon after on head, this did not last long & went away soon after.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-12
Survey response — day 0, dose 2
MedDRA: Arthralgia, Injection site pain, Neck pain — Feeling: Good · Site: Pain · Chills, Nausea

Free text: pain from injection site to right shoulder & up to neck area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Chills, Decreased appetite, Headache, Heart rate increased, Injection site pruritus, Injection site rash, Injection site swelling, Myalgia, Nausea, Neck pain, Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness

Free text: On 2/13 & 2/14 I couldn't login, had fever/chills/muscle & joint pain , nausea, loss of appetite, headache, pain in back of neck, had to stay in bed, rash/swelling/itching on injection site. Also had fast heartbeat for a few seconds on the 13th at night, did not happe after that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Muscle twitching, Paraesthesia — Feeling: Good

Free text: I have had muscle tingling/twitching occasionally on extremities & buttocks, I didn't experience this before I got the vaccines. This has diminished by now but still feel it at times.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-24
Dose 3 — Moderna
2021-10-25
Survey response — days 1–6 daily, dose 3
MedDRA: Muscle twitching, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Tingling/twitching on inside of left heel, right leg & right foot toes.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Dehydration — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Nausea

Free text: Have not had a fever but feel like I'm dehydrated since I received the booster shot.

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Nausea

Adult check-in
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease, Rash, Urticaria — Feeling: Good · Site: Redness, Swelling, Itching · Nausea, Rash, not including the immediate area around the injection site

Free text: I have severe allergies, I'm not sure that the hives & rash I had last night & this morning have anything to do with the booster shot.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Headache, Nausea

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-31
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-30
Survey response — day 35, dose 3
MedDRA: Cough, Dyspnoea, Headache, Nasopharyngitis, Pre-existing disease, Rhinorrhoea, Sneezing — Feeling: Good

Free text: Have had cold symptoms for 5 days, sneezing, runny nose, headache, shortness of breath, mild cough. Had these similar symptoms 2 weeks after 1st dose, 1 month after 2nd dose, (this time was severe respiratory infection) & 1 month after booster.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-14
Dose 4 — Moderna
2022-05-14
Survey response — day 0, dose 4
MedDRA: Pruritus — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Abdominal pain

Free text: Itching on inside of right hand finger

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Chills, Muscle or body aches, Nausea

Adult check-in
2022-05-16
Survey response — days 1–6 daily, dose 4
MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: I had itching on feet, thighs and back at night and this morning, no itching at this time.

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Survey response — days 1–6 daily, dose 4
MedDRA: Muscle spasms — Feeling: Good · Muscle or body aches, Nausea

Free text: I had really bad muscle cramps on my legs last night.

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna
3	2021-10-24	Moderna	No
4	2022-05-14	Moderna	No

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Very mild itching on right side of tongue & right hand palm that went away right away. Received injection in right arm.

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Had itching on palm of hand & soon after on head, this did not last long & went away soon after.

Release 4 — day 0, dose 2

2021-02-12

Systemic reaction (other): pain from injection site to right shoulder & up to neck area

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): On 2/13 & 2/14 I couldn't login, had fever/chills/muscle & joint pain , nausea, loss of appetite, headache, pain in back of neck, had to stay in bed, rash/swelling/itching on injection site. Also had fast heartbeat for a few seconds on the 13th at night, did not happe after that.

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: I have had muscle tingling/twitching occasionally on extremities & buttocks, I didn't experience this before I got the vaccines. This has diminished by now but still feel it at times.

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): Tingling/twitching on inside of left heel, right leg & right foot toes.

2021-10-26

Systemic reaction (other): Have not had a fever but feel like I'm dehydrated since I received the booster shot.

2021-10-28

Systemic reaction (other): I have severe allergies, I'm not sure that the hives & rash I had last night & this morning have anything to do with the booster shot.

Release 10 — day 35, dose 3

2021-11-30

Symptoms: Have had cold symptoms for 5 days, sneezing, runny nose, headache, shortness of breath, mild cough. Had these similar symptoms 2 weeks after 1st dose, 1 month after 2nd dose, (this time was severe respiratory infection) & 1 month after booster.

Release 11 — day 0, dose 4

2022-05-14

Systemic reaction (other): Itching on inside of right hand finger

Release 11 — days 1–6 daily, dose 4

2022-05-16

Systemic reaction (other): I had itching on feet, thighs and back at night and this morning, no itching at this time.

2022-05-17

Systemic reaction (other): I had really bad muscle cramps on my legs last night.

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	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Headache	·	·	✓
SD	Muscle twitching	✓	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Paraesthesia	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dehydration	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Muscle spasms	·	·	✓
SRO	Muscle twitching	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Paraesthesia	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Tongue pruritus	✓	✓	✓
SRO	Urticaria	·	·	✓

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