REP-30253-83956

2 vaccinations 9 coded responses 13 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 943 / CA
Registered: 2021-04-23

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-23
Dose 1 — Moderna
2021-04-21
Dose 2 — Moderna
2021-04-23
Registered in v-safe
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: 1 -2 hives on leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Node swelling? at surgical site in opposite arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Survey response — day 7, dose 2
MedDRA: Discomfort, Pain in extremity — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Uncomfortable weird heel pain on right foot, below calf.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 14, dose 2
MedDRA: Axillary pain, Back pain, Bone pain, Diarrhoea, Discomfort, Headache, Pain, Spinal pain, Swelling, Urticaria — Feeling: Good · Be unable to do your normal daily activities

Free text: Diarrhea, hives, headache, body aches, back/spine/bone pain; swelling, discomfort, soreness in armpit area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Lymphadenopathy — Feeling: Good · Be unable to do your normal daily activities

Free text: Diarrhea, swelling of lymph nodes in armpit area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — day 28, dose 2
MedDRA: Muscle spasms, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Pinched pain/cramp in arm and underarm area on side of vaccination shot site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 35, dose 2
MedDRA: Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: Do not think it is related but swelling in feet in legs for a couple of days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Oedema peripheral, Peripheral swelling — Feeling: Good · 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: Swelling in feet and from knees down

MedDRA releases: 2024-11 · check-in free text available
2021-07-22
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-28
Call 1 — Left Voicemail
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-23
Survey response — 12 months, dose 2
MedDRA: Chest discomfort, Dyspnoea, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Some chest/breathing tightness. TBD. SE from tx for health condition. · Healthcare visit (other): TBD

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-21	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): 1 -2 hives on leg

2021-04-25

Systemic reaction (other): Node swelling? at surgical site in opposite arm.

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Uncomfortable weird heel pain on right foot, below calf.

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Diarrhea, hives, headache, body aches, back/spine/bone pain; swelling, discomfort, soreness in armpit area

Release 8 — day 21, dose 2

2021-05-14

Symptoms: Diarrhea, swelling of lymph nodes in armpit area.

Release 8 — day 28, dose 2

2021-05-23

Symptoms: Pinched pain/cramp in arm and underarm area on side of vaccination shot site.

Release 8 — day 35, dose 2

2021-05-28

Symptoms: Do not think it is related but swelling in feet in legs for a couple of days.

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Swelling in feet and from knees down

Release 11 — 12 months, dose 2

2022-04-23

Symptoms: Some chest/breathing tightness. TBD. SE from tx for health condition.

Healthcare visit (other): TBD

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	Unevaluable event	·	·	✓
SD	Axillary pain	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Headache	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Oedema peripheral	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Spinal pain	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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