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22X-32406-49601

2 vaccinations 7 coded responses 14 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
490 / MI
Registered
2021-01-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-28
    Dose 1 — Moderna
  2. 2021-01-22
    Dose 2 — Moderna
  3. 2021-01-23
    Registered in v-safe
  4. 2021-01-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in
  5. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  6. 2021-01-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Contusion, Injection site bruising, Injection site pruritus — Feeling: Good · Site: Redness, Itching
    Free text: I wanted to let you know with my first injection, 2 days later I developed a bruise on front side away from injection site that got really dark about 3×4 in size that was like someone punched me really hard. Lasted 3 weeks before fading started. Not painful. Now, another bruise is developing at injection site 2nd dose. Starting like last bruise. Itching is really bother some. Avoiding scraching. Will rub occasionally.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising — Feeling: Good · Site: Pain, Redness, Itching
    Free text: Some bruising around injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising — Feeling: Good · Site: Pain, Itching
    Free text: Bruising at site of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Bruising at injection site but not painful
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-29
    Survey response — day 7, dose 2
    MedDRA: Contusion — Feeling: Good
    Free text: Fading bruise
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-02-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-23
    Survey response — 3 months, dose 2
    MedDRA: Cyst, Nephrolithiasis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Kidney stone left side. Cyst right side no symptoms OB/GYN watching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-23
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-07-25
    Survey response — 6 months, dose 2
    MedDRA: Nephrolithiasis, Ovarian cyst, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Symptoms: Back right side dx as Kidney stone leading to incidental finding of large ovarian cyst on left side that was not bothering me. OB/GYN recommended removal of cysy after f/u US showing no change lap · Healthcare visit (other): Outpt surgery
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2021-07-25
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  20. 2021-08-02
  21. 2021-08-02
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Moderna
22021-01-22Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-25

Systemic reaction (other): I wanted to let you know with my first injection, 2 days later I developed a bruise on front side away from injection site that got really dark about 3×4 in size that was like someone punched me really hard. Lasted 3 weeks before fading started. Not painful. Now, another bruise is developing at injection site 2nd dose. Starting like last bruise. Itching is really bother some. Avoiding scraching. Will rub occasionally.

2021-01-26

Systemic reaction (other): Some bruising around injection site

2021-01-27

Systemic reaction (other): Bruising at site of injection

2021-01-28

Systemic reaction (other): Bruising at injection site but not painful

Release 3 — day 7, dose 2

2021-01-29

Systemic reaction (other): Fading bruise

Release 7 — 3 months, dose 2

2021-04-23

Symptoms: Kidney stone left side. Cyst right side no symptoms OB/GYN watching

Release 9 — 6 months, dose 2

2021-07-25

Symptoms: Back right side dx as Kidney stone leading to incidental finding of large ovarian cyst on left side that was not bothering me. OB/GYN recommended removal of cysy after f/u US showing no change lap
Healthcare visit (other): Outpt surgery

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
HCVOSurgery ✓ · ✓
SDCyst ✓ ✓ ✓
SDNephrolithiasis ✓ ✓ ✓
SDOvarian cyst ✓ · ✓
SROContusion ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓

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