M2B-19636-49162

3 vaccinations 6 coded responses 38 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 191 / PA
Registered: 2021-01-21

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Registered dependents

T6G-16151-33831 Child or adolescent in my care · Male · 2021-11-08

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-21
Health check-in — day 0, dose 1
Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-04
Survey response — day 14, dose 1
MedDRA: Pain in extremity, Peripheral swelling, Rash erythematous, Rash macular, Skin warm — Feeling: Good · Be unable to do your normal daily activities

Free text: My arm that received the shot became very sore, swollen and hot to touch. I also broke out in a red blotchy rash that was itchy on that arm it lasted for about a day and a half.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-05
Survey response — day 14, dose 2
MedDRA: Erythema, Nodule, Swelling — Feeling: Good

Free text: Swollen, red, itchy lump on the inside elbow of the arm that received the shot (left)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 21, dose 2
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Good

Free text: Stomach upset diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Survey response — day 35, dose 2
MedDRA: Erythema, Feeling hot, Lymphadenopathy — Feeling: Good

Free text: Swollen red warm lymph node in the crease of my left elbow in the arm where I got my second shot is back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sweats

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Poor · Diarrhea, Abdominal pain

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-04
Survey response — 6 months, dose 3
MedDRA: Menstruation irregular — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Missed period false positive urine test negative blood test

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-01
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-19	Moderna
3	2021-11-01	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-04

Symptoms: My arm that received the shot became very sore, swollen and hot to touch. I also broke out in a red blotchy rash that was itchy on that arm it lasted for about a day and a half.

Release 5 — day 14, dose 2

2021-03-05

Symptoms: Swollen, red, itchy lump on the inside elbow of the arm that received the shot (left)

Release 5 — day 21, dose 2

2021-03-12

Symptoms: Stomach upset diarrhea

Release 6 — day 35, dose 2

2021-03-27

Symptoms: Swollen red warm lymph node in the crease of my left elbow in the arm where I got my second shot is back.

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): Sweats

Release 11 — 6 months, dose 3

2022-05-04

Symptoms: Missed period false positive urine test negative blood test

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	Abdominal discomfort	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SD	Nodule	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash macular	✓	✓	✓
SD	Skin warm	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Hyperhidrosis	·	·	✓

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