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3CB-15797-52118

2 vaccinations 3 coded responses 14 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
432 / OH
Registered
2021-04-10
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Dose 1 — Moderna
  2. 2021-04-08
    Dose 2 — Moderna
  3. 2021-04-10
    Registered in v-safe
  4. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary mass, Chills, Hypersomnia, Injection site swelling, Medical counselling, Pain in extremity, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches
    Free text: This morning I noticed swelling in my armpit; a huge lump. I called the pharmacist and she said it was my Lymph nodes and it was normal. The swelling has gone down over the last 8 hours. My fever was on Friday, the day after my 2nd injection. Friday is also when i had chills and slept 10 hours. Today, less pain in my arm but injection site still swollen. But no fever Thank God.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Neck pain, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches
    Free text: Woke up neck pain. Swelling continues to decrease in armpit of injection arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  7. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-08
    Survey response — 3 months, dose 2
    MedDRA: Back pain, Pain in extremity — Feeling: Fair · Be unable to work or attend school
    Free text: Back and leg pain that begins for no apparent reason.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-04-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): This morning I noticed swelling in my armpit; a huge lump. I called the pharmacist and she said it was my Lymph nodes and it was normal. The swelling has gone down over the last 8 hours. My fever was on Friday, the day after my 2nd injection. Friday is also when i had chills and slept 10 hours. Today, less pain in my arm but injection site still swollen. But no fever Thank God.

2021-04-11

Systemic reaction (other): Woke up neck pain. Swelling continues to decrease in armpit of injection arm.

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Back and leg pain that begins for no apparent reason.

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
SDBack pain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROAxillary mass ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROHypersomnia ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROMedical counselling ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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