Y2T-40222-48038

4 vaccinations 8 coded responses 30 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 959 / CA
Registered: 2021-04-09

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

2021-04-02
Dose 1 — Moderna
2021-04-09
Registered in v-safe
2021-04-09
Survey response — day 7, dose 1
MedDRA: Injection site warmth — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Diarrhea

Free text: Injection site feels hot to the touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 14, dose 1
MedDRA: Arthralgia, Injection site reaction, Rash, Rash erythematous, Rash macular — Feeling: Good · Be unable to do your normal daily activities

Free text: The red blotch on my injection site expanded to about a 6 in by 6 in sore, inflamed red rash. I also had a smaller 2nd rash appear briefly. I also experienced 2 days of moderate to severe joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 21, dose 1
MedDRA: Arthralgia, Injection site erythema, Injection site warmth, Peripheral swelling, Rash, Rash pruritic — Feeling: Good

Free text: I developed an itchy rash on my fingers and my fingers have been swollen. I've not been exposed to anything environmental, so I believe it is one last vaccine side effect. All other symptoms-hot red blotch at injection site, joint pain- ceased.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Dose 2 — Moderna
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Disturbance in attention, Hyperhidrosis, Injection site warmth — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Injection site is hard and hot, excessive sweating, brain fog and difficulty concentrating

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: Injection site indentation, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Hard, hot spot at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site induration — Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness, Nausea

Free text: Injection site is hard to the touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-06-04
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Dose 3 — Moderna
2022-04-30
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-04
Dose 4 — Moderna
2022-10-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-08
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Heat at injection site

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Injection site is hot to the touch

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness

Adult check-in
2022-10-11
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2022-10-18
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-03
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-04-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Moderna
2	2021-04-30	Moderna
3	2021-12-10	Moderna	No
4	2022-10-04	Moderna	No

Free text

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): Injection site feels hot to the touch

Release 7 — day 14, dose 1

2021-04-16

Symptoms: The red blotch on my injection site expanded to about a 6 in by 6 in sore, inflamed red rash. I also had a smaller 2nd rash appear briefly. I also experienced 2 days of moderate to severe joint pain.

Release 7 — day 21, dose 1

2021-04-23

Symptoms: I developed an itchy rash on my fingers and my fingers have been swollen. I've not been exposed to anything environmental, so I believe it is one last vaccine side effect. All other symptoms-hot red blotch at injection site, joint pain- ceased.

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): Injection site is hard and hot, excessive sweating, brain fog and difficulty concentrating

2021-05-04

Systemic reaction (other): Hard, hot spot at injection site

2021-05-06

Systemic reaction (other): Injection site is hard to the touch

Release 12 — days 1–6 daily, dose 4

2022-10-08

Systemic reaction (other): Heat at injection site

2022-10-09

Systemic reaction (other): Injection site is hot to the touch

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	Arthralgia	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site reaction	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash macular	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site indentation	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓

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