2XD-20987-08540
2 vaccinations
7 coded responses
22 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 549 / WI
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Dose 1 — Moderna
-
2021-03-28
Registered in v-safe
-
2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain extends past elbow (last nt into neck). Improving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Slightly swollen neck glands, yesterday and today, not painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-18
-
2021-04-24
Dose 2 — Moderna
- 2021-04-24
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Pain of skin, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: My skin hurt like when I had shingles (I had the shingles vax). Last night my whole body was so tender, clothes rubbing on skin was torture.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The arm redness is a large area, wrapping to inner side of arm. Approx 5" diam.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Immunisation reaction, Pruritus — Feeling: Good · Site: Redness, Itching · Muscle or body aches, Fatigue or tirednessFree text: Covid arm" patch about 4", less itchy than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
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2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Peripheral swelling, Pruritus — Feeling: Good · Site: ItchingFree text: A small lump in arm at edge of where the redness and itching had been.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-08
-
2021-05-15
Survey response — day 21, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen armpits and neck glands (since a few days after the 2nd dose), still hasn't gone down. Not painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-05-29
- 2021-06-06
- 2021-07-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Pain extends past elbow (last nt into neck). Improving.
Systemic reaction (other): Slightly swollen neck glands, yesterday and today, not painful.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): My skin hurt like when I had shingles (I had the shingles vax). Last night my whole body was so tender, clothes rubbing on skin was torture.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): The arm redness is a large area, wrapping to inner side of arm. Approx 5" diam.
Systemic reaction (other): Covid arm" patch about 4", less itchy than yesterday.
Systemic reaction (other): A small lump in arm at edge of where the redness and itching had been.
Release 8 — day 21, dose 2
Symptoms: Swollen armpits and neck glands (since a few days after the 2nd dose), still hasn't gone down. Not painful.
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 | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release