36Q-77167-01305
3 vaccinations
2 coded responses
28 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 441 / OH
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-07
Registered in v-safe
-
2021-02-07
Dose 1 — Moderna
- 2021-02-07
-
2021-02-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-10
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-14
- 2021-02-21
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2021-02-28
Survey response — day 21, dose 1MedDRA: Breast pain, Chest pain — Feeling: FairFree text: Continued pain in left side of chest/breast, same side as vaccine. Likely lymph nodes. Has been the case since vaccine but has still not gone awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Dose 2 — Moderna
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2021-03-07
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
-
2021-03-14
Health check-in — day 7, dose 2Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Vomiting, Diarrhea, Abdominal painAdult check-in
- 2021-03-21
- 2021-03-29
- 2021-04-04
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2021-04-12
Survey response — day 35, dose 2MedDRA: Hypoaesthesia, Pain, Paraesthesia, Swelling, Unevaluable event, Vascular pain, Vasodilatation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Swollen veins and Sharp pains in veins of hand, arms, legs, feet; then tingling and slight numbness and bad ache in those areas after. Unrelated to exercise. Became much worse 2-3 days ago. Especially bad in left hand (got vaccine in left arm). · Healthcare visit (other): Waiting on appointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-20
- 2021-06-07
- 2021-09-07
-
2021-12-21
Dose 3 — Moderna
- 2022-03-07
- 2022-03-22
-
2022-05-04
Call successfulNot applicable - Accidental Reporting
- 2022-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-07 | Moderna | |
| 2 | 2021-03-07 | Moderna | |
| 3 | 2021-12-21 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 21, dose 1
Symptoms: Continued pain in left side of chest/breast, same side as vaccine. Likely lymph nodes. Has been the case since vaccine but has still not gone away
Release 7 — day 35, dose 2
Symptoms: Swollen veins and Sharp pains in veins of hand, arms, legs, feet; then tingling and slight numbness and bad ache in those areas after. Unrelated to exercise. Became much worse 2-3 days ago. Especially bad in left hand (got vaccine in left arm).
Healthcare visit (other): Waiting on appointment
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Breast pain | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Vascular pain | ✓ | ✓ | ✓ |
| SD | Vasodilatation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release