2GV-17128-07572
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 444 / OH
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Registered in v-safe
-
2021-03-06
Dose 1 — Moderna
-
2021-03-06
Survey response — day 0, dose 1MedDRA: Axillary pain, Injection site paraesthesia — Feeling: Good · Site: PainFree text: Tingle off and on at injection site some more tenderness into my armpit into my left side. Its the side of the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body achesAdult check-in
- 2021-03-08
- 2021-03-12
- 2021-03-13
- 2021-03-20
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2021-03-29
Survey response — day 21, dose 1MedDRA: Limb discomfort, Rhinorrhoea — Feeling: FairFree text: Runny nose. Arms feel heavierMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Dose 2 — Moderna
- 2021-04-03
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-10
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2021-04-18
Survey response — day 14, dose 2MedDRA: Blood pressure increased — Feeling: GoodFree text: Raised blood pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-05-01
- 2021-05-08
- 2021-05-15
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2021-07-03
Survey response — 3 months, dose 2MedDRA: Hypertension, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Having higher blood pressure issues than previously. Spikes and not consistently as low on my medication but still controllable but rises quicker. I can feel it when it raises · Healthcare visit (other): Discussed with my PCP when I was due for my refill appointment. We kept my dosage the same. He didnt seem to think it was an issue even though it seems to get higher on my other prescribed medication I need to be on for Tarlov cysts on my spine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-03
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-08
-
2021-10-02
Survey response — 6 months, dose 2MedDRA: Humerus fracture, Shoulder fracture — Feeling: Good · Be unable to do your normal daily activitiesFree text: Broken shoulder and humerus boneMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Tingle off and on at injection site some more tenderness into my armpit into my left side. Its the side of the shot
Release 6 — day 21, dose 1
Symptoms: Runny nose. Arms feel heavier
Release 7 — day 14, dose 2
Symptoms: Raised blood pressure
Release 9 — 3 months, dose 2
Symptoms: Having higher blood pressure issues than previously. Spikes and not consistently as low on my medication but still controllable but rises quicker. I can feel it when it raises
Healthcare visit (other): Discussed with my PCP when I was due for my refill appointment. We kept my dosage the same. He didnt seem to think it was an issue even though it seems to get higher on my other prescribed medication I need to be on for Tarlov cysts on my spine.
Release 9 — 6 months, dose 2
Symptoms: Broken shoulder and humerus bone
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 | Office visit | ✓ | ✓ | ✓ |
| HCVO | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Humerus fracture | · | · | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Shoulder fracture | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Injection site paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release