2SD-30419-74994
5 vaccinations
12 coded responses
44 check-ins
12 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 730 / OK
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
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2021-01-24
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-01-29
- 2021-02-05
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2021-02-11
Dose 2 — Moderna
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-20
- 2021-03-27
- 2021-05-13
- 2021-08-12
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2021-11-01
Dose 3 — Moderna
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2022-02-11
Survey response — 12 months, dose 2MedDRA: Axillary pain, Headache, Injection site pruritus, Oedema peripheral, Self-medication — Feeling: GoodFree text: Received booster 11-1-21. Had headache next day, took Tylenol rested and was fine. Arm received shot in swole in my arm pit. Was a little sore. Went away around a week later. Site of shot was a little itchy off and on. Went away around week later.MedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Dose 4 — Moderna
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2022-04-26
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral, Tenderness — Feeling: Good · Site: Redness, ItchingFree text: Swollen under my arm and a little tenderMedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: Good · Site: RednessFree text: Still swollen under armMedDRA releases: 2024-11 · check-in free text available
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2022-04-28
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: Good · Site: RednessFree text: Still a little swelling under my armMedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Survey response — day 7, dose 4MedDRA: Oedema peripheral, Tenderness — Feeling: Good · Site: RednessFree text: Still swollen under arm and isn't sensitive to touch anymore.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-07-22
- 2022-10-21
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2022-11-28
Dose 5 — Moderna
- 2022-11-28
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2022-11-29
Survey response — days 1–6 daily, dose 5MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: Not nowMedDRA releases: 2024-11 · check-in free text available
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2022-11-30
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-12-01
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-12-02
Survey response — days 1–6 daily, dose 5MedDRA: Pain, Tenderness — Feeling: GoodFree text: A little pain when I lift my arm over head to do something. Doesn't hurt when I touch it anymore though.MedDRA releases: 2024-11 · check-in free text available
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2022-12-03
Survey response — days 1–6 daily, dose 5MedDRA: Pain, Pain in extremity — Feeling: GoodFree text: Raising arm doesn't ache as much todayMedDRA releases: 2024-11 · check-in free text available
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2022-12-04
Survey response — days 1–6 daily, dose 5MedDRA: Pain, Pain in extremity — Feeling: GoodFree text: Still hurts sometimes when I raise arm and try to use itMedDRA releases: 2024-11 · check-in free text available
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2022-12-05
Survey response — day 7, dose 5MedDRA: Pain, Pain in extremity — Feeling: GoodFree text: Arm still a little sore when raisedMedDRA releases: 2024-11 · check-in free text available
- 2022-12-12
- 2022-12-19
- 2022-12-26
- 2023-01-02
- 2023-01-09
- 2023-02-27
- 2023-05-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-11-28 | Moderna | No |
Free text
Release 11 — 12 months, dose 2
Symptoms: Received booster 11-1-21. Had headache next day, took Tylenol rested and was fine. Arm received shot in swole in my arm pit. Was a little sore. Went away around a week later. Site of shot was a little itchy off and on. Went away around week later.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen under my arm and a little tender
Systemic reaction (other): Still swollen under arm
Systemic reaction (other): Still a little swelling under my arm
Release 11 — day 7, dose 4
Systemic reaction (other): Still swollen under arm and isn't sensitive to touch anymore.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Not now
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): A little pain when I lift my arm over head to do something. Doesn't hurt when I touch it anymore though.
Systemic reaction (other): Raising arm doesn't ache as much today
Systemic reaction (other): Still hurts sometimes when I raise arm and try to use it
Release 12 — day 7, dose 5
Systemic reaction (other): Arm still a little sore when raised
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 | Axillary pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release