ZLH-28741-69522

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 462 / IN
Registered: 2021-03-02

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

Timeline

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

2021-03-01
Dose 1 — Moderna
2021-03-02
Registered in v-safe
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling, Itching · Fever · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — day 14, dose 1
MedDRA: Injection site rash, Injection site warmth, Rash erythematous, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Itchy, Red Rash at injection site that started on 3/10/2021 and was hot to the touch. As of this morning area has grown but is no longer hot to the touch and is lighter in color.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-29
Dose 2 — Moderna
2021-03-29
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Fair · Site: Pain

Free text: Pain under arm where injection was given

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Fair · Site: Pain

Free text: Pain in armpit area of arm of injection site

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

Free text: Pain in armpit of injection arm

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

Free text: Pain in armpit of injection site arm

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

Free text: Pain in armpit of arm of injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 7, dose 2
MedDRA: Axillary pain — Feeling: Good

Free text: Pain in armpit of arm where I got injection

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

Adult check-in
2021-04-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-09
Call 1 — Left Voicemail
2022-03-29
Survey response — 12 months, dose 2
MedDRA: Kidney infection, Nephrolithiasis — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Kidney stone and infection

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
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 · Emergency room or emergency department visit · 1 call case(s)
2022-03-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-03-29	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-15	Unsuccessful
2022-03-29	Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-15

Symptoms: Itchy, Red Rash at injection site that started on 3/10/2021 and was hot to the touch. As of this morning area has grown but is no longer hot to the touch and is lighter in color.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Pain under arm where injection was given

2021-04-01

Systemic reaction (other): Pain in armpit area of arm of injection site

2021-04-02

Systemic reaction (other): Pain in armpit of injection arm

2021-04-03

Systemic reaction (other): Pain in armpit of injection site arm

2021-04-04

Systemic reaction (other): Pain in armpit of arm of injection site

Release 6 — day 7, dose 2

2021-04-05

Systemic reaction (other): Pain in armpit of arm where I got injection

Release 11 — 12 months, dose 2

2022-03-29

Symptoms: Kidney stone and infection

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	Injection site rash	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Kidney infection	·	·	✓
SD	Nephrolithiasis	·	·	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SRO	Axillary pain	✓	✓	✓

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