694-22129-52668

3 vaccinations 10 coded responses 30 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 137 / NY
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

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

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper — Feeling: Good

Free text: Stomachache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling — Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Muscle or body aches

Free text: Terrible itching at injection site, red swollen, hard

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · None

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Cellulitis — Feeling: Fair · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Free text: I have cellulitis and now need antibiotics

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Cellulitis, Pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Free text: Had cellulitis needed antibiotics, i also forgot to check off pain in all my other questioners

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · None

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Injection site cellulitis, Injection site pain — Feeling: Fair

Free text: My arm after all this time still hurts where I was injected.I did have cellulitis in that area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-07
Survey response — 6 months, dose 2
MedDRA: Exposure to SARS-CoV-2, Myalgia, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have had arm pain since I've had the vaccine. I finally can lay on my left side its been 5 or months had ultrasound. Still muscle tenderness, but i was in close contact for several hours for several days w a POS COVID case and i did not get COVID

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-22
Dose 3 — Moderna
2021-10-25
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school

Free text: This was with in less than 12 hrs of vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal discomfort — Feeling: Fair · Abdominal pain

Free text: Stomach upset and

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Abdominal pain

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

Adult check-in
2021-10-29
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy, Temporomandibular joint syndrome — Feeling: Fair

Free text: Swollen lymph nodes in neck, flaring TMJ

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
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
2021-11-24
Call 1 — Left Voicemail
2021-11-28
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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna
3	2021-10-22	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Fatigue

2021-01-13

Systemic reaction (other): Stomachache

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Terrible itching at injection site, red swollen, hard

2021-02-08

Systemic reaction (other): I have cellulitis and now need antibiotics

2021-02-09

Systemic reaction (other): Had cellulitis needed antibiotics, i also forgot to check off pain in all my other questioners

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: My arm after all this time still hurts where I was injected.I did have cellulitis in that area.

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: I have had arm pain since I've had the vaccine. I finally can lay on my left side its been 5 or months had ultrasound. Still muscle tenderness, but i was in close contact for several hours for several days w a POS COVID case and i did not get COVID cut off by CDC

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): This was with in less than 12 hrs of vaccine

2021-10-26

Systemic reaction (other): Stomach upset and

Release 10 — day 7, dose 3

2021-10-29

Systemic reaction (other): Swollen lymph nodes in neck, flaring TMJ

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	Exposure to SARS-CoV-2	✓	·	✓
SD	Injection site cellulitis	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Myalgia	✓	·	✓
SD	Pain in extremity	✓	·	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Adverse reaction	·	·	✓
SRO	Cellulitis	✓	✓	✓
SRO	Condition aggravated	○	○	○
SRO	Fatigue	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	○	○	○
SRO	Temporomandibular joint syndrome	·	·	✓

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