3FV-30041-66091
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 920 / CA
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-08
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Limb discomfort, Oedema peripheral — Feeling: Fair · Site: Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Under armpit pain and swelling. At night i couldn't put my arm down,pressure between arm and armpit was so painful, still is.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Oedema peripheral, Pain, Pain in extremity, Rash papular — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Under armpit sweeling and pain on shot arm. When I put my arm down it hurts. I feel bump/bumps.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Pain in extremity, Swelling — Feeling: Good · Site: ItchingFree text: Armpit pain in hand i received shot. Feels a bit swollen. Less pain than yesterday, but still pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Tenderness — Feeling: Good · Site: Itching · HeadacheFree text: Armpit tenderness, some pain if pressed, in the arm I received the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: Tender armpit on vaccinated armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Survey response — day 7, dose 1MedDRA: Tenderness — Feeling: GoodFree text: Tender armpit vaccine armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
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2021-01-29
Survey response — day 21, dose 1MedDRA: Headache — Feeling: GoodFree text: Mild headaches throughout 24 hrs/dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Dose 2 — Moderna
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
- 2022-02-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Under armpit pain and swelling. At night i couldn't put my arm down,pressure between arm and armpit was so painful, still is.
Systemic reaction (other): Under armpit sweeling and pain on shot arm. When I put my arm down it hurts. I feel bump/bumps.
Systemic reaction (other): Armpit pain in hand i received shot. Feels a bit swollen. Less pain than yesterday, but still pain.
Systemic reaction (other): Armpit tenderness, some pain if pressed, in the arm I received the shot.
Systemic reaction (other): Tender armpit on vaccinated arm
Release 2 — day 7, dose 1
Systemic reaction (other): Tender armpit vaccine arm
Release 3 — day 21, dose 1
Symptoms: Mild headaches throughout 24 hrs/day
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 | Headache | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rash papular | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release