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2XX-11781-51116

5 vaccinations 7 coded responses 44 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
121 / NY
Registered
2021-02-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-05
    Dose 1 — Moderna
  2. 2021-02-14
    Registered in v-safe
  3. 2021-02-14
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  4. 2021-02-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-05
    Dose 2 — Moderna
  7. 2021-03-05
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · None
    Adult check-in
  9. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Axillary pain, Injection site pain, Pain — Feeling: Good · Site: Pain · Fever
    Free text: Achiness radiating from injection site to shoulder area and underarm area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Axillary pain — Feeling: Good · Site: Pain
    Free text: Soreness from shoulder to elbow and in underarm area.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Axillary pain, Pain in extremity — Feeling: Good · Site: Pain
    Free text: Still some arm , shoulder, and underarm pain....slowly subsiding
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Soreness at injection site up to the shoulder and underthe arm almost completely gone now.h
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Soreness at injection site to shoulder and also underarm almost completely gone now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-10-29
    Dose 3 — Moderna
  23. 2021-10-29
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  25. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  26. 2021-11-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen lymph nodes under armpit where shot was given.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Pain in extremity — Feeling: Good · Site: Pain
    Free text: Sore arm and underarm
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  29. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-01-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-04-08
    Dose 4 — Moderna
  38. 2022-04-19
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  39. 2022-04-22
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-04-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-05-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-05-13
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-05-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-07-08
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-09-06
    Dose 5 — Moderna
  46. 2022-10-07
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  47. 2022-10-11
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  48. 2022-10-18
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  49. 2022-12-06
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  50. 2023-03-07
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Moderna
22021-03-05Moderna
32021-10-29Moderna No
42022-04-08Moderna No
52022-09-06Moderna No

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Achiness radiating from injection site to shoulder area and underarm area

2021-03-08

Systemic reaction (other): Soreness from shoulder to elbow and in underarm area.

2021-03-09

Systemic reaction (other): Still some arm , shoulder, and underarm pain....slowly subsiding

2021-03-10

Systemic reaction (other): Soreness at injection site up to the shoulder and underthe arm almost completely gone now.h

2021-03-11

Systemic reaction (other): Soreness at injection site to shoulder and also underarm almost completely gone now

Release 10 — days 1–6 daily, dose 3

2021-11-01

Systemic reaction (other): Swollen lymph nodes under armpit where shot was given.

2021-11-02

Systemic reaction (other): Sore arm and underarm

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
SROArthralgia ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROLymphadenopathy · · ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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

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