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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

  1. 2021-04-05
    Dose 1 — Moderna
  2. 2021-05-05
    Dose 2 — Moderna
  3. 2021-11-30
    Dose 3 — Moderna
  4. 2021-12-02
    Registered in v-safe
  5. 2021-12-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: 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 activities
    Free text: On both arms my underarms/arm pits are swollen and itchy
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Free text: Swollen lymph nodes on both sides of my body
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school
    Adult check-in
  8. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school
    Adult check-in
  9. 2021-12-07
    Health check-in — day 7, dose 3
    Feeling: 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 activities
    Adult check-in
  10. 2021-12-14
    Survey response — day 14, dose 3
    MedDRA: 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 visit
    Free 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 doctor
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-14
    Report sent to call center — day 14, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  12. 2021-12-15
  13. 2021-12-20
  14. 2021-12-28
    Survey response — day 28, dose 3
    MedDRA: 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 visit
    Free 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 care
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-12-28
    Report sent to call center — day 28, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  16. 2021-12-29
  17. 2022-01-04

Vaccinations

DoseDateManufacturerCo-administered
12021-04-05Moderna No
22021-05-05Moderna No
32021-11-30Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-02

Systemic reaction (other): On both arms my underarms/arm pits are swollen and itchy

2021-12-03

Systemic reaction (other): Swollen lymph nodes on both sides of my body

Release 10 — day 14, dose 3

2021-12-14

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

2021-12-28

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDRheumatic disorder · · ✓
SDUrticaria · · ✓
SROLymphadenopathy · · ✓
SROOedema peripheral · · ✓
SROPruritus · · ✓

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