Z6G-16060-05037

2 vaccinations 12 coded responses 24 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 973 / OR
Registered: 2021-02-06

Relationship: Self
Race: Multiracial
Ethnicity: 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

2021-02-06
Registered in v-safe
2021-02-06
Dose 1 — Moderna
2021-02-06
Survey response — day 0, dose 1
MedDRA: Limb discomfort — Feeling: Good · Site: Pain

Free text: I'd describe arm as sore, not pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain

Free text: Sore arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Self-medication — Feeling: Good · Site: Pain

Free text: Soreness in arm intentifies as tylenol wears off and/or if arm gets cold.m .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling cold, Pain in extremity, Self-medication — Feeling: Good · Site: Pain

Free text: Arm is Still very sore when tylenol wears off or it gets cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pain in extremity — Feeling: Good · Headache

Free text: The soreness in my arm is nearly gone. I have forgotten to report a very slight headach that comes and goes during the afternoons. They started on the day i recieved my vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Survey response — day 7, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: Headache yesterday was worse. Between moderate and severe. Today my headach began after noon and is between mild abd moderate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Yesterday a.m. red spot at injection site 2 in. diameter, p.m. 4 in.diameter, today 6in.diameter

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Swelling — Feeling: Good · Site: Pain, Redness, Swelling

Free text: The red spot is larger 7in diameter, but lighter red color and a little less swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Muscular weakness, Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Pain is a soreness and tired feeling down my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Limb discomfort, Pain in extremity, Skin discolouration, Tenderness — Feeling: Good · Site: Redness, Swelling

Free text: The spot on arm is not yellow-green color 4 in diameter. Sore to touch,down the arm feels tired and achy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema — Feeling: Good · Site: Redness, Swelling

Free text: The spot on my arm is better. Less red,less sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 7, dose 2
MedDRA: Injection site rash, Rash erythematous — Feeling: Good · Site: Redness

Free text: Red spot at injection site is nearly gone today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-07
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-05	Moderna

Free text

Release 3 — day 0, dose 1

2021-02-06

Systemic reaction (other): I'd describe arm as sore, not pain

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Sore arm

2021-02-08

Systemic reaction (other): Soreness in arm intentifies as tylenol wears off and/or if arm gets cold.m .

2021-02-09

Systemic reaction (other): Arm is Still very sore when tylenol wears off or it gets cold.

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): The soreness in my arm is nearly gone. I have forgotten to report a very slight headach that comes and goes during the afternoons. They started on the day i recieved my vaccine.

Release 4 — day 7, dose 1

2021-02-15

Systemic reaction (other): Headache yesterday was worse. Between moderate and severe. Today my headach began after noon and is between mild abd moderate.

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Yesterday a.m. red spot at injection site 2 in. diameter, p.m. 4 in.diameter, today 6in.diameter

2021-03-08

Systemic reaction (other): The red spot is larger 7in diameter, but lighter red color and a little less swollen.

2021-03-09

Systemic reaction (other): Pain is a soreness and tired feeling down my arm.

2021-03-10

Systemic reaction (other): The spot on arm is not yellow-green color 4 in diameter. Sore to touch,down the arm feels tired and achy.

2021-03-11

Systemic reaction (other): The spot on my arm is better. Less red,less sore.

Release 5 — day 7, dose 2

2021-03-12

Systemic reaction (other): Red spot at injection site is nearly gone 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
SRO	Erythema	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Skin discolouration	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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