6WK-17093-86986

5 vaccinations 5 coded responses 27 check-ins 5 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 606 / IL
Registered: 2021-04-26

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

2021-04-22
Dose 1 — Moderna
2021-04-26
Registered in v-safe
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Tenderness — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: A sun-burn type of red skin sensitive to the touch on lower left leg, same side as injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling — Feeling: Fair · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: I have swelling in lower left leg, shot given in left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Peripheral swelling — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lower left leg still swollen- messaged my doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 7, dose 1
MedDRA: Peripheral swelling — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Lower left leg swollen worse- goin to er in morning- for the record I am not taking the 2nd shot after this horrible week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 14, dose 1
MedDRA: Cellulitis, Emergency care, Hospitalisation, Peripheral swelling — Feeling: Poor · 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: My leg swelled up, went to er and was diagnosed with cellulitis, spent 6 days there before being released today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-20
Dose 2 — Moderna
2021-05-20
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-15
Dose 3 — Moderna
2022-01-12
Call 1 — Left Voicemail
2022-05-11
Dose 4 — Moderna
2022-06-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-18
Dose 5 — Moderna
Co-administered: Flu
2022-11-09
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-20	Moderna
3	2021-12-15	Moderna	No
4	2022-05-11	Moderna	No
5	2022-10-18	Moderna	Flu

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 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): A sun-burn type of red skin sensitive to the touch on lower left leg, same side as injection site

2021-04-27

Systemic reaction (other): I have swelling in lower left leg, shot given in left arm

2021-04-28

Systemic reaction (other): Lower left leg still swollen- messaged my doctor

Release 8 — day 7, dose 1

2021-04-29

Systemic reaction (other): Lower left leg swollen worse- goin to er in morning- for the record I am not taking the 2nd shot after this horrible week

Release 8 — day 14, dose 1

2021-05-06

Symptoms: My leg swelled up, went to er and was diagnosed with cellulitis, spent 6 days there before being released today

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	Cellulitis	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Medical counselling	·	·	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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