2JG-22657-06872
4 vaccinations
8 coded responses
29 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 400 / KY
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-10
Dose 1 — Moderna
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2021-03-13
Registered in v-safe
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Injection site erythema, Injection site induration, Injection site mass — Feeling: Good · Site: RednessFree text: Redness with hard bump on bicep of injected armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Muscle swelling — Feeling: Good · Site: RednessFree text: The place on bicep is still red. I still have the bump. Today there is some noticeable swelling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling — Feeling: GoodFree text: Bump on bicep of injection arm is more tender and swelling has increased. It is still red and looks slightly bruised today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Injection site erythema, Injection site nodule, Injection site pain, Injection site swelling — Feeling: GoodFree text: Still have redness on bicep of injection arm. In center of red circle is a knot that is a bit more red. It is tender. Area still swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — day 7, dose 1MedDRA: Erythema, Injection site nodule, Injection site pruritus — Feeling: GoodFree text: Injection arm bicep still has the knot with redness. On occasion since last night, there has been itchiness around the knot area on bicep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 14, dose 1MedDRA: Erythema, Myosclerosis — Feeling: GoodFree text: The hard knot on bicep of vaccine injection arm is still present. There is still redness at site of knot.Havent had it looked at because VSafe states if there is a concern, someone will contact me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
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2021-04-07
Dose 2 — Moderna
- 2021-04-07
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-09
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-04-12
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Injection site nodule, Muscle mass — Feeling: Good · Site: RednessFree text: I still have a knot on bicep of injection arm from my first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — day 7, dose 2MedDRA: Nodule — Feeling: Good · Site: RednessFree text: Still have small knot on bicep of first injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-07-07
- 2021-10-06
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2021-11-09
Dose 3 — Moderna
- 2022-04-09
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2022-09-15
Dose 4 — Moderna
- 2022-10-08
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-09-15 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Redness with hard bump on bicep of injected arm
Systemic reaction (other): The place on bicep is still red. I still have the bump. Today there is some noticeable swelling.
Systemic reaction (other): Bump on bicep of injection arm is more tender and swelling has increased. It is still red and looks slightly bruised today.
Systemic reaction (other): Still have redness on bicep of injection arm. In center of red circle is a knot that is a bit more red. It is tender. Area still swollen
Release 5 — day 7, dose 1
Systemic reaction (other): Injection arm bicep still has the knot with redness. On occasion since last night, there has been itchiness around the knot area on bicep.
Release 6 — day 14, dose 1
Symptoms: The hard knot on bicep of vaccine injection arm is still present. There is still redness at site of knot.Havent had it looked at because VSafe states if there is a concern, someone will contact me.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I still have a knot on bicep of injection arm from my first shot.
Release 7 — day 7, dose 2
Systemic reaction (other): Still have small knot on bicep of first injection
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 |
|---|---|---|---|---|
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Myosclerosis | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site induration | · | · | ✓ |
| SRO | Injection site mass | · | · | ✓ |
| SRO | Injection site nodule | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Muscle mass | ○ | ✓ | ○ |
| SRO | Muscle swelling | ✓ | ✓ | ✓ |
| SRO | Nodule | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release