3A5-98941-17031
3 vaccinations
4 coded responses
7 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 194 / PA
- Registered
- 2021-12-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-05
Dose 1 — Moderna
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2021-05-05
Dose 2 — Moderna
-
2021-11-30
Dose 3 — Moderna
-
2021-12-02
Registered in v-safe
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2021-12-02
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral, Pruritus — Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: On both arms my underarms/arm pits are swollen and itchyMedDRA releases: 2024-11 · check-in free text available
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2021-12-03
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Swollen lymph nodes on both sides of my bodyMedDRA releases: 2024-11 · check-in free text available
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2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
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2021-12-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend schoolAdult check-in
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2021-12-07
Health check-in — day 7, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-12-14
Survey response — day 14, dose 3MedDRA: Office visit, Urticaria — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Possibly an unrelated side effect but I have full body hives . Currently awaiting a medical opinion on the cause of the hives but they could possibly be related. · Healthcare visit (other): Allergy doctorMedDRA releases: 2024-11 · check-in free text available
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2021-12-14
Report sent to call center — day 14, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-15
- 2021-12-20
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2021-12-28
Survey response — day 28, dose 3MedDRA: Office visit, Rheumatic disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: I was a healthy 29 year old woman without any health issues up until I got my booster. Since my booster I have developed a rheumatoid issue and I'm currently waiting on results to determine if I've developed an autoimmune disease. · Healthcare visit (other): And primary careMedDRA releases: 2024-11 · check-in free text available
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2021-12-28
Report sent to call center — day 28, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-12-29
- 2022-01-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | No |
| 2 | 2021-05-05 | Moderna | No |
| 3 | 2021-11-30 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): On both arms my underarms/arm pits are swollen and itchy
Systemic reaction (other): Swollen lymph nodes on both sides of my body
Release 10 — day 14, dose 3
Symptoms: Possibly an unrelated side effect but I have full body hives . Currently awaiting a medical opinion on the cause of the hives but they could possibly be related.
Healthcare visit (other): Allergy doctor
Release 10 — day 28, dose 3
Symptoms: I was a healthy 29 year old woman without any health issues up until I got my booster. Since my booster I have developed a rheumatoid issue and I'm currently waiting on results to determine if I've developed an autoimmune disease.
Healthcare visit (other): And primary care
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 | Office visit | · | · | ✓ |
| SD | Rheumatic disorder | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release