ZWE-24322-74929

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 318 / GA
Registered: 2021-02-06

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

2021-01-08
Dose 1 — Moderna
2021-02-06
Registered in v-safe
2021-02-06
Survey response — day 28, dose 1
MedDRA: Headache, Paranasal sinus hypersecretion, Rash, Rash pruritic, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: A rash to my left arm started yesterday. It was itchy. I am using Benadryl cream which has helped. Also I got my first shot on Jan 22. I originally said the wrong date. The next one is due Feb 19. I also have have sinus drainage and headache, no feve

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 35, dose 1
MedDRA: Cellulitis, Influenza — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cellulitis to left arm and influenza B

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Feeling weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Tremor — Feeling: Poor · Site: Redness, Swelling, Itching · Joint pains, Fatigue or tiredness

Free text: Weak and shaky

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Itching · Headache, Joint pains

Free text: Lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Survey response — day 14, dose 2
MedDRA: Abdominal pain lower — Feeling: Poor · Be unable to do your normal daily activities

Free text: Left lower quadrant pain X 3Days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-21
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Bursitis, Pre-existing disease — Feeling: Fair · Be unable to work, 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: Right knee pain started Mar 12. Started as Perserine bursitis, now arthritic pain added. Hoping to have knee replacement in July.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call 1 — Left Voicemail
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-19	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — day 28, dose 1

2021-02-06

Symptoms: A rash to my left arm started yesterday. It was itchy. I am using Benadryl cream which has helped. Also I got my first shot on Jan 22. I originally said the wrong date. The next one is due Feb 19. I also have have sinus drainage and headache, no feve cut off by CDC

Release 4 — day 35, dose 1

2021-02-12

Symptoms: Cellulitis to left arm and influenza B

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Feeling weak

2021-02-22

Systemic reaction (other): Weak and shaky

2021-02-23

Systemic reaction (other): Lightheadedness

Release 5 — day 14, dose 2

2021-03-05

Symptoms: Left lower quadrant pain X 3Days

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Right knee pain started Mar 12. Started as Perserine bursitis, now arthritic pain added. Hoping to have knee replacement in July.

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	Abdominal pain lower	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Bursitis	✓	✓	✓
SD	Cellulitis	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Influenza	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Tremor	✓	✓	✓

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