ZNN-23277-30270

5 vaccinations 5 coded responses 37 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 600 / IL
Registered: 2021-02-01

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

Timeline

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

2021-01-25
Dose 1 — Moderna
2021-02-01
Registered in v-safe
2021-02-02
Survey response — day 7, dose 1
MedDRA: Dry skin, Erythema, Medical counselling, Pruritus, Skin swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Have "covid arm" skin texture rough, redness, itchy and puffy. Not stopping me from normal activity · Healthcare visit (other): Phone call to doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: I just got shot 45 minutes ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-18
Call 1 — Left Voicemail
2021-08-15
Dose 3 — Moderna
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Foot deformity, Office visit, Rotator cuff syndrome — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Possible psoriatric arthritis HammertoeSlighty torn rotator cuff · Healthcare visit (other): Doctor visits

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Left Voicemail
2022-02-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-18
Dose 4 — Moderna
2022-04-28
Survey response — day 7, dose 4
MedDRA: Injection site erythema, Injection site pruritus, Pruritus — Feeling: Good · Site: Itching

Free text: I had severe itching for a full 6 days after 4th booster. No rash or swelling, just redness and severe itch from injection site down the front of my upper arm. It still itches a bit.

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-20
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-29
Dose 5 — Moderna
2022-10-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2022-10-09
Survey response — day 7, dose 5
MedDRA: Injection site scab — Feeling: Good · Site: Itching

Free text: Scabby at injection site

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-30
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-30
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-26	Moderna
3	2021-08-15	Moderna	No
4	2022-04-18	Moderna	No
5	2022-09-29	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-02	Unsuccessful
2021-08-27	Unsuccessful

Free text

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): Have "covid arm" skin texture rough, redness, itchy and puffy. Not stopping me from normal activity

Healthcare visit (other): Phone call to doctor

Release 4 — day 0, dose 2

2021-02-26

Systemic reaction (other): I just got shot 45 minutes ago

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Possible psoriatric arthritis HammertoeSlighty torn rotator cuff

Healthcare visit (other): Doctor visits

Release 11 — day 7, dose 4

2022-04-28

Systemic reaction (other): I had severe itching for a full 6 days after 4th booster. No rash or swelling, just redness and severe itch from injection site down the front of my upper arm. It still itches a bit.

Release 12 — day 7, dose 5

2022-10-09

Systemic reaction (other): Scabby at injection site

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	·	✓
SD	Foot deformity	✓	·	✓
SD	Rotator cuff syndrome	✓	·	✓
SRO	Dry skin	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Injection site erythema	·	·	✓
SRO	Injection site pruritus	·	·	✓
SRO	Injection site scab	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin swelling	✓	✓	✓

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