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2BH-79544-18820

2 vaccinations 3 coded responses 10 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
480 / MI
Registered
2021-03-31
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-02-25
    Dose 1 — Moderna
  2. 2021-03-25
    Dose 2 — Moderna
  3. 2021-03-31
    Registered in v-safe
  4. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injected limb mobility decreased, Injection site discolouration, Injection site erythema, Mass, Rash, Skin discolouration — Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Yes, I have a shadow of a 3 inch stripe from the 1st shot of redness for 4 days and a purple dot from the injection site and a rash on the right arm from the 2nd shot a large lump on the side of elbow with another purple dot and my left arm locked and couldnt move it for a few seconds after the 2nd shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-01
    Survey response — day 7, dose 2
    MedDRA: Hyperhidrosis — Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness
    Free text: Sweating forgot to mention that!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-08
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  7. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  8. 2021-04-22
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-04-29
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-05-07
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-06-25
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-09-25
    Survey response — 6 months, dose 2
    MedDRA: Erythema, Hypoaesthesia — Feeling: Fair
    Free text: My left arm went dumb for a few seconds! And my forehead is red!
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-04-01
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Moderna
22021-03-25Moderna

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Yes, I have a shadow of a 3 inch stripe from the 1st shot of redness for 4 days and a purple dot from the injection site and a rash on the right arm from the 2nd shot a large lump on the side of elbow with another purple dot and my left arm locked and couldnt move it for a few seconds after the 2nd shot.

Release 6 — day 7, dose 2

2021-04-01

Systemic reaction (other): Sweating forgot to mention that!

Release 9 — 6 months, dose 2

2021-09-25

Symptoms: My left arm went dumb for a few seconds! And my forehead is red!

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
SDErythema · · ✓
SDHypoaesthesia · · ✓
SROHyperhidrosis ✓ ✓ ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SROInjection site discolouration ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROMass ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSkin discolouration ✓ ✓ ✓

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