69Y-14173-87372

2 vaccinations 5 coded responses 26 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 021 / MA
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-03-24
Health check-in — day 0, dose 1
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Nodule — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: I have developed a swollen (lump) on my arm at the elbow area . It is the arm I got the shot in . Not hot to the touch but seems to get bigger everyday..I did not have it before I received the shot. I will be calling my Dr to take a look at it on Monday .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Joint swelling — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Still having swelling at the elbow area of the armI had the shot on .I will be seeing my primary dr to evaluate it on Wednesday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Joint swelling — Feeling: Good

Free text: Swelling on vaccine arm at the outside of the elbow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 7, dose 1
MedDRA: Joint swelling — Feeling: Good

Free text: Swelling at elbow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — day 42, dose 2
MedDRA: Lymphadenopathy, Office visit, Skin infection — Feeling: Fair · Be unable to work, 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: Symptoms: Swollen lymph nodes and a skin infection . I am not sure if it has anything to do with the shot. · Healthcare visit (other): Primary Doctor afterwords urgent Care

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Report sent to call center — day 42, 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)
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-08
Call 1 — Left Voicemail
2022-04-22
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna

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 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): I have developed a swollen (lump) on my arm at the elbow area . It is the arm I got the shot in . Not hot to the touch but seems to get bigger everyday..I did not have it before I received the shot. I will be calling my Dr to take a look at it on Monday .

2021-03-29

Systemic reaction (other): Still having swelling at the elbow area of the armI had the shot on .I will be seeing my primary dr to evaluate it on Wednesday

2021-03-30

Systemic reaction (other): Swelling on vaccine arm at the outside of the elbow.

Release 6 — day 7, dose 1

2021-03-31

Systemic reaction (other): Swelling at elbow

Release 8 — day 42, dose 2

2021-06-02

Symptoms: Swollen lymph nodes and a skin infection . I am not sure if it has anything to do with the shot.

Healthcare visit (other): Primary Doctor afterwords urgent Care

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	Lymphadenopathy	✓	✓	✓
SD	Skin infection	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Nodule	✓	✓	✓

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