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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

  1. 2021-08-19
    Registered in v-safe
  2. 2021-08-19
    Dose 1 — Moderna
  3. 2021-08-19
    Health check-in — day 0, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  4. 2021-08-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  5. 2021-08-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-08-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-08-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-08-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-08-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-08-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-09-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-09-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-09-16
    Survey response — day 28, dose 1
    MedDRA: Rash — Feeling: Fair
    Free text: Random painful bumps on body.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-09-23
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-09-24
    Dose 2 — Moderna
  16. 2021-09-24
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-09-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-09-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-09-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash, Skin discolouration — Feeling: Fair · Site: Pain · Headache, Rash, not including the immediate area around the injection site
    Free 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
  20. 2021-09-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  21. 2021-09-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Rash, not including the immediate area around the injection site
    Adult check-in
  22. 2021-09-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-10-01
    Health check-in — day 7, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  24. 2021-10-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-22
    Survey response — day 28, dose 2
    MedDRA: Rash — Feeling: Good
    Free text: The bumps and aftermarks are still popping up and not going away
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-10-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-03-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-09-26
    Survey response — 12 months, dose 2
    MedDRA: Axillary mass, Emergency care, Rash, Skin hyperpigmentation — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free 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
  32. 2022-09-26
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  33. 2022-09-27
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-08-19Moderna No
22021-09-24Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — day 28, dose 1

2021-09-16

Symptoms: Random painful bumps on body.

Release 9 — days 1–6 daily, dose 2

2021-09-27

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

2021-10-22

Symptoms: The bumps and aftermarks are still popping up and not going away

Release 12 — 12 months, dose 2

2022-09-26

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

FieldPreferred term2021-092023-042024-11
SDAxillary mass · · ✓
SDEmergency care · · ✓
SDRash · · ✓
SDSkin hyperpigmentation · · ✓
SRORash · · ✓
SROSkin discolouration · · ✓

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