3CX-28087-68682
2 vaccinations
6 coded responses
11 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 018 / MA
- Registered
- 2021-12-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-09
Registered in v-safe
-
2021-12-09
Dose 1 — Moderna
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2021-12-09
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-12-12
- 2021-12-15
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2021-12-28
Survey response — day 14, dose 1MedDRA: Cough, Fatigue, Headache, Myalgia, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever 102 , headache, muscle aches, fatigue, coughMedDRA releases: 2024-11 · check-in free text available
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2022-02-17
Dose 2 — Moderna
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2022-02-17
Survey response — day 0, dose 2MedDRA: Haemorrhage, Injection site bruising, Injection site mass — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to work or attend schoolFree text: Started to bleed after vaccine was given. She put bandaid on. I now have bruising and a lump at the injection site.MedDRA releases: 2024-11 · check-in free text available
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2022-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolFree text: Bruising on arm at injection siteMedDRA releases: 2024-11 · check-in free text available
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2022-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Injection site erythema, Pain, Vaccination site bruising, Vaccination site pain, Vaccination site swelling, Vaccination site warmth — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Arm around vaccine site has a large red patch that is hot, painful, and raised. I also have a spot above that area that is bruised. I cannot move my shoulder without pain.MedDRA releases: 2024-11 · check-in free text available
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2022-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Bruising around injection siteMedDRA releases: 2024-11 · check-in free text available
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2022-02-27
Survey response — day 7, dose 2MedDRA: Injection site bruising — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Bruising at injection site is still thereMedDRA releases: 2024-11 · check-in free text available
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-09 | Moderna | No |
| 2 | 2022-02-17 | Moderna | No |
Free text
Release 10 — day 14, dose 1
Symptoms: Fever 102 , headache, muscle aches, fatigue, cough
Release 11 — day 0, dose 2
Systemic reaction (other): Started to bleed after vaccine was given. She put bandaid on. I now have bruising and a lump at the injection site.
Release 11 — days 1–6 daily, dose 2
Systemic reaction (other): Bruising on arm at injection site
Systemic reaction (other): Arm around vaccine site has a large red patch that is hot, painful, and raised. I also have a spot above that area that is bruised. I cannot move my shoulder without pain.
Systemic reaction (other): Bruising around injection site
Release 11 — day 7, dose 2
Systemic reaction (other): Bruising at injection site is still there
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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Haemorrhage | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site mass | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Vaccination site bruising | · | · | ✓ |
| SRO | Vaccination site pain | · | · | ✓ |
| SRO | Vaccination site swelling | · | · | ✓ |
| SRO | Vaccination site warmth | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release