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35N-29587-64869

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
857 / AZ
Registered
2021-01-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-09
    Dose 1 — Moderna
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-06
    Dose 2 — Moderna
  10. 2021-02-06
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  12. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear swelling, Hypoaesthesia, Joint swelling, Swelling, Tenderness — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Swelling from collarbone and shoulder area up to ear on the side of the injection (left side). Somewhat tender and numb feeling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain, Swelling — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Swelling on the side of my neck, shoulder, and collar bone area. Throbbing pain down my arm to my hand
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Joint swelling, Swelling, Tenderness — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Swelling on side of neck, shoulder, and collar bone area thats slightly tender and heavy feeling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Joint swelling — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea
    Free text: Swelling on top of shoulder and collar bone area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Joint swelling — Feeling: Fair · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Free text: Swelling on top of shoulder and around collar bone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-02-06
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Moderna
22021-02-06Moderna

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Swelling from collarbone and shoulder area up to ear on the side of the injection (left side). Somewhat tender and numb feeling

2021-02-09

Systemic reaction (other): Swelling on the side of my neck, shoulder, and collar bone area. Throbbing pain down my arm to my hand

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Swelling on side of neck, shoulder, and collar bone area thats slightly tender and heavy feeling

2021-02-11

Systemic reaction (other): Swelling on top of shoulder and collar bone area

2021-02-12

Systemic reaction (other): Swelling on top of shoulder and around collar 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

FieldPreferred term2021-092023-042024-11
SROEar swelling ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROJoint swelling ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROSwelling ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

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

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