GBA-11123-04254

4 vaccinations 11 coded responses 48 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 217 / MD
Registered: 2021-04-04

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

2021-04-01
Dose 1 — Moderna
2021-04-04
Registered in v-safe
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: Bruising at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Erythema, Pruritus, Skin irritation, Skin warm — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: On day 9, I presented with a round red circle below vaccination site-itchy, warm and red. 3 days later it spread up toward the site of vaccine. It was also warm irritating and itchy. Used cortisone b.i.d. Its calmed but can flare with sun exposure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-29
Dose 2 — Moderna
2021-04-29
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: general all over weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased — Feeling: Good · Site: Pain, Redness, Itching · Headache

Free text: Slightly elevated BP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site warmth — Feeling: Good · Site: Pain

Free text: Injection site warm to the touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Vaccination site pruritus, Vaccination site warmth — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Vaccination site still warm to the touch, with mild itchy sensation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-05-15
Survey response — day 14, dose 2
MedDRA: Injection site pruritus — Feeling: Good

Free text: Slight mild itch to vaccination site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Survey response — 6 months, dose 2
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Dose 3 — Moderna
2021-11-21
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
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
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-28
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-26
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-02
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-20
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good

Free text: Cold-nothing major. Tested negative for Covid.

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-22
Survey response — 6 months, dose 3
MedDRA: Postpartum state, Pre-eclampsia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Postpartum preeclampsia

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-05-23
Call 1 — Could Not Reach Participant
2022-05-23
Call 1 — Could Not Reach Participant
2022-05-26
Call 2 — Could Not Reach Participant
2022-05-26
Call 2 — Could Not Reach Participant
2022-09-10
Dose 4 — Moderna
2022-09-10
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Diarrhea

Adult check-in
2022-09-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-09-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-09-17
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-01
Survey response — day 21, dose 4
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: A seasonal cold

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-11
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna
3	2021-11-21	Moderna	No
4	2022-09-10	Moderna	No

Call center

2 call center cases

1 successful · 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

2021-04-04

Systemic reaction (other): Bruising at injection site

Release 7 — day 14, dose 1

2021-04-15

Symptoms: On day 9, I presented with a round red circle below vaccination site-itchy, warm and red. 3 days later it spread up toward the site of vaccine. It was also warm irritating and itchy. Used cortisone b.i.d. Its calmed but can flare with sun exposure

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): general all over weakness

2021-05-02

Systemic reaction (other): Slightly elevated BP

2021-05-03

Systemic reaction (other): Injection site warm to the touch

2021-05-04

Systemic reaction (other): Vaccination site still warm to the touch, with mild itchy sensation

Release 8 — day 14, dose 2

2021-05-15

Symptoms: Slight mild itch to vaccination site.

Release 10 — 6 months, dose 2

2021-10-28

Symptoms: Pregnancy

Release 11 — 3 months, dose 3

2022-02-20

Symptoms: Cold-nothing major. Tested negative for Covid.

Release 11 — 6 months, dose 3

2022-05-22

Symptoms: Postpartum preeclampsia

Release 12 — day 21, dose 4

2022-10-01

Symptoms: A seasonal cold

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	Erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Postpartum state	·	·	✓
SD	Pre-eclampsia	·	·	✓
SD	Pregnancy	·	·	✓
SD	Pruritus	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Skin irritation	✓	✓	✓
SD	Skin warm	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Vaccination site pruritus	✓	✓	✓
SRO	Vaccination site warmth	✓	✓	✓

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