22M-39728-67372
2 vaccinations
4 coded responses
28 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 303 / GA
- Registered
- 2021-08-19
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-19
Registered in v-safe
-
2021-08-19
Dose 1 — Moderna
-
2021-08-19
Health check-in — day 0, dose 1Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-08-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-08-21
- 2021-08-22
- 2021-08-23
- 2021-08-24
-
2021-08-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-08-26
- 2021-09-02
- 2021-09-09
-
2021-09-16
Survey response — day 28, dose 1MedDRA: Rash — Feeling: FairFree text: Random painful bumps on body.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-23
-
2021-09-24
Dose 2 — Moderna
- 2021-09-24
-
2021-09-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-09-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-09-27
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Skin discolouration — Feeling: Fair · Site: Pain · Headache, Rash, not including the immediate area around the injection siteFree text: Since the first shot of had bumps that turned into black marks and a rash pop up on my thigh when I got my second shot.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-28
-
2021-09-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-09-30
-
2021-10-01
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-10-08
- 2021-10-15
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2021-10-22
Survey response — day 28, dose 2MedDRA: Rash — Feeling: GoodFree text: The bumps and aftermarks are still popping up and not going awayMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-11-05
- 2021-12-24
- 2022-03-25
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2022-09-26
Survey response — 12 months, dose 2MedDRA: Axillary mass, Emergency care, Rash, Skin hyperpigmentation — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Bumps still appear on the arm I received the shot, but they disappear and leave marks like hyperpigmentation. I also had a lump appear under my armpit under the same arm I got the shot in, I went to the ER, made a doctors appt for proper imaging.MedDRA releases: 2024-11 · check-in free text available
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2022-09-26
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2022-09-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-19 | Moderna | No |
| 2 | 2021-09-24 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 9 — day 28, dose 1
Symptoms: Random painful bumps on body.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Since the first shot of had bumps that turned into black marks and a rash pop up on my thigh when I got my second shot.
Release 10 — day 28, dose 2
Symptoms: The bumps and aftermarks are still popping up and not going away
Release 12 — 12 months, dose 2
Symptoms: Bumps still appear on the arm I received the shot, but they disappear and leave marks like hyperpigmentation. I also had a lump appear under my armpit under the same arm I got the shot in, I went to the ER, made a doctors appt for proper imaging.
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 | Axillary mass | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Skin hyperpigmentation | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Skin discolouration | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release