22G-31942-59718
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 490 / MI
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
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2021-02-25
Registered in v-safe
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2021-02-25
Survey response — day 7, dose 1MedDRA: Adverse reaction, Injection site erythema, Pain in extremity — Feeling: Good · Site: Redness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Arm pain for the first two days. Redness at injection site started 02/25/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-26
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site rash — Feeling: GoodFree text: Red rash at injection site worsened, but just a little bit. Using a topical Benadryl and took one Benadryl pill. Have iced the area several times and that seems to help.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — day 21, dose 1MedDRA: Inflammation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: The inflammation on my injection site arm increased from 3x2 inches on 02/25/21 to 8 x 5 1/2 inches on 02/28/21 then is stopped spreading and slowly faded. Today I can barely see the outline of the affected area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-12
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2021-03-19
Dose 2 — Moderna
- 2021-03-19
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2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-21
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2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
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2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
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2021-06-18
Survey response — 3 months, dose 2MedDRA: Anti-thyroid antibody increased, Anxiety, Insomnia, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Elevated thyroid antibodiesIncreased anxietyIncreased, relentless insomnia · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-18
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-06-22
- 2021-09-17
- 2022-03-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-19 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Arm pain for the first two days. Redness at injection site started 02/25/2021
Release 4 — day 14, dose 1
Symptoms: Red rash at injection site worsened, but just a little bit. Using a topical Benadryl and took one Benadryl pill. Have iced the area several times and that seems to help.
Release 5 — day 21, dose 1
Symptoms: The inflammation on my injection site arm increased from 3x2 inches on 02/25/21 to 8 x 5 1/2 inches on 02/28/21 then is stopped spreading and slowly faded. Today I can barely see the outline of the affected area.
Release 9 — 3 months, dose 2
Symptoms: Elevated thyroid antibodiesIncreased anxietyIncreased, relentless insomnia
Healthcare visit (other): Office visit
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Anti-thyroid antibody increased | ✓ | ✓ | ✓ |
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release