6J6-18189-48312

4 vaccinations 13 coded responses 41 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 334 / FL
Registered: 2021-01-22

Relationship: Self
Race: White
Ethnicity: Not 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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth, Sensitive skin — Feeling: Good

Free text: some residual sensitivity near injection site and a bit of heat coming off it. This was also present yesterday but I didnt note it. She says it is less noticeable today than yesterday. No redness. mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site reaction, Injection site warmth — Feeling: Good · Site: Pain

Free text: some heat near the injection site. small amount of sensitivity around injection site. doesnt seem to be major.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Rhinorrhoea — Feeling: Good · Fatigue or tiredness

Free text: runny nose, but the fatigue and runny nose seemed to go away as the day progressed into evening. Mom claims the fatigue could have been related to having trouble sleeping.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-19
Survey response — day 0, dose 2
MedDRA: Dizziness, Hunger — Feeling: Good

Free text: dizzyness, a little more than normal. hungry. mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Injection site swelling, Limb discomfort — Feeling: Good · Site: Pain, Swelling · Chills

Free text: swelling around injection site akin to foreign body reaction the size of an orange. Mom reports significant discomfort in this area. she says 'it hurts even to move my arm a little.' She said arm hurts alot worse than last time. No redness. fever was normal in afternoon. She said earlier in day she had chills, but I didn't take temperate then because I was not aware of it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Pain in extremity, Skin warm, Swelling — Feeling: Good · Site: Pain, Redness, Swelling

Free text: slept until noon. Still complaining arm hurts. Swelling is about as wide as an orange. a slight bit of redness. Mom says the area feels 'hot to the touch.'

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site warmth — Feeling: Good · Site: Redness, Swelling

Free text: mom says the area around injection site feels less warm today. I looked at it and I saw a bit of redness and the skill was still a bit warm to the touch. But probably not as bad as a few days ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site warmth, Swelling — Feeling: Good · Site: Swelling

Free text: still feels warm to the touch at injection site. about the same amount of swelling as yesterday. otherwise ok.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 7, dose 2
MedDRA: Injection site swelling, Injection site warmth — Feeling: Good · Site: Swelling

Free text: heat around injection site, still slight swelling about the diameter of an orange.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-29
Survey response — day 0, dose 3
MedDRA: Pre-existing disease — Feeling: Good

Free text: Stage 3A Chronic Kidney Disease and Alzheimer's Dementia patient. Debated whether to give her Immunocompromised version since kidney function is currently 46%. Ultimately I put her down as immunocompromised since it was unclear whether she qualified

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Redness, Swelling

Free text: dizziness which may be related to another condition.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

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

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

Adult check-in
2022-04-02
Dose 4 — Moderna
2022-04-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-04-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-08
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site pain — Feeling: Good

Free text: injection site a little tender

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-07
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-01
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-04
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna
3	2021-10-29	Moderna	No
4	2022-04-02	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): some residual sensitivity near injection site and a bit of heat coming off it. This was also present yesterday but I didnt note it. She says it is less noticeable today than yesterday. No redness. mild.

2021-01-26

Systemic reaction (other): some heat near the injection site. small amount of sensitivity around injection site. doesnt seem to be major.

2021-01-27

Systemic reaction (other): runny nose, but the fatigue and runny nose seemed to go away as the day progressed into evening. Mom claims the fatigue could have been related to having trouble sleeping.

Release 4 — day 0, dose 2

2021-02-19

Systemic reaction (other): dizzyness, a little more than normal. hungry. mild.

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): swelling around injection site akin to foreign body reaction the size of an orange. Mom reports significant discomfort in this area. she says 'it hurts even to move my arm a little.' She said arm hurts alot worse than last time. No redness. fever was normal in afternoon. She said earlier in day she had chills, but I didn't take temperate then because I was not aware of it.

2021-02-21

Systemic reaction (other): slept until noon. Still complaining arm hurts. Swelling is about as wide as an orange. a slight bit of redness. Mom says the area feels 'hot to the touch.'

2021-02-24

Systemic reaction (other): mom says the area around injection site feels less warm today. I looked at it and I saw a bit of redness and the skill was still a bit warm to the touch. But probably not as bad as a few days ago.

2021-02-25

Systemic reaction (other): still feels warm to the touch at injection site. about the same amount of swelling as yesterday. otherwise ok.

Release 4 — day 7, dose 2

2021-02-27

Systemic reaction (other): heat around injection site, still slight swelling about the diameter of an orange.

Release 10 — day 0, dose 3

2021-10-29

Systemic reaction (other): Stage 3A Chronic Kidney Disease and Alzheimer's Dementia patient. Debated whether to give her Immunocompromised version since kidney function is currently 46%. Ultimately I put her down as immunocompromised since it was unclear whether she qualified cut off by CDC

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): dizziness which may be related to another condition.

2021-10-31

Systemic reaction (other): runny nose

Release 11 — days 1–6 daily, dose 4

2022-04-08

Systemic reaction (other): injection site a little tender

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
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hunger	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Swelling	✓	✓	✓

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