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3CZ-11348-52523

2 vaccinations 2 coded responses 8 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
852 / AZ
Registered
2021-05-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-17
    Dose 1 — Moderna
  2. 2021-05-12
    Registered in v-safe
  3. 2021-05-12
    Survey response — day 21, dose 1
    MedDRA: Hypoaesthesia, Pain in extremity, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: 24 hours after the shot I experienced intense pain in the arm I received the shot in. About 72 hours after, the arm I received the shot in went tingly and a bit numb. Mostly a very intense tingly sensation. It went away the same day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-12
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-05-15
    Dose 2 — Moderna
  6. 2021-05-29
    Survey response — day 14, dose 2
    MedDRA: Contusion, Fatigue, Injection site bruising, Injection site pruritus, Myalgia, Pain in extremity — Feeling: Good
    Free text: Immediately after the shot I had arm pain, and fatigue. Arm pain turned to bruising and was itchy at the site of the shot. Some out of the ordinary muscle pain and blemish increase.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-06-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-06-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-08-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-11-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2022-05-05
  13. 2022-05-17
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-17Moderna
22021-05-15Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 21, dose 1

2021-05-12

Symptoms: 24 hours after the shot I experienced intense pain in the arm I received the shot in. About 72 hours after, the arm I received the shot in went tingly and a bit numb. Mostly a very intense tingly sensation. It went away the same day.

Release 8 — day 14, dose 2

2021-05-29

Symptoms: Immediately after the shot I had arm pain, and fatigue. Arm pain turned to bruising and was itchy at the site of the shot. Some out of the ordinary muscle pain and blemish increase.

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
SDContusion ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDInjection site bruising ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓

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