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
-
2020-12-28
Dose 1 — Moderna
-
2021-01-22
Dose 2 — Moderna
-
2021-01-23
Registered in v-safe
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2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-01-24
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2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Contusion, Injection site bruising, Injection site pruritus — Feeling: Good · Site: Redness, ItchingFree 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
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2021-01-26
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Good · Site: Pain, Redness, ItchingFree text: Some bruising around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Good · Site: Pain, ItchingFree text: Bruising at site of injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: GoodFree text: Bruising at injection site but not painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — day 7, dose 2MedDRA: Contusion — Feeling: GoodFree text: Fading bruiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-13
- 2021-02-19
- 2021-02-26
- 2021-03-05
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2021-04-23
Survey response — 3 months, dose 2MedDRA: 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 visitFree text: Kidney stone left side. Cyst right side no symptoms OB/GYN watchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-25
Survey response — 6 months, dose 2MedDRA: 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 visitFree 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 surgeryMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-25
Report sent to call center — 6 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)
- 2021-08-02
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2021-08-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-22 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 2 — days 1–6 daily, dose 2
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.
Systemic reaction (other): Some bruising around injection site
Systemic reaction (other): Bruising at site of injection
Systemic reaction (other): Bruising at injection site but not painful
Release 3 — day 7, dose 2
Systemic reaction (other): Fading bruise
Release 7 — 3 months, dose 2
Symptoms: Kidney stone left side. Cyst right side no symptoms OB/GYN watching
Release 9 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Surgery | ✓ | · | ✓ |
| SD | Cyst | ✓ | ✓ | ✓ |
| SD | Nephrolithiasis | ✓ | ✓ | ✓ |
| SD | Ovarian cyst | ✓ | · | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release