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3GN-13915-30633

1 vaccination 5 coded responses 10 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
103 / NY
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Registered in v-safe
  2. 2021-03-03
    Dose 1 — Moderna
  3. 2021-03-03
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  4. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  7. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  8. 2021-03-17
    Survey response — day 14, dose 1
    MedDRA: Axillary pain, Emergency care, Erythema, Immunisation reaction, Pain in extremity, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: One week after the shot my are became very swollen, purplish red and itchy. The pain in my arm/underarm was so bad that it prompted me to see an urgent care doctor. She informed me I had Moderna arm, predicted it would go away in 5 days, & it did.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-17
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-03-25
    Survey response — day 21, dose 1
    MedDRA: Axillary pain, Vaccination site discolouration, Vaccination site swelling — Feeling: Fair
    Free text: My arm at the vaccine site is still slightly swollen and discolored, and the underarm is still sore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-08
    Survey response — day 35, dose 1
    MedDRA: Arthralgia, Axillary pain — Feeling: Fair
    Free text: Persistent pain and swelling of under arm area and new stiffness or shoulder and knee joints.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-16
    Survey response — day 42, dose 1
    MedDRA: Abdominal discomfort, Headache, Nausea — Feeling: Fair
    Free text: Headache, nausea, intestinal upset.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-09-02
    Survey response — 6 months, dose 1
    MedDRA: Arthralgia, Arthritis, Dyspnoea, Fatigue, Peripheral swelling — Feeling: Fair
    Free text: Joint pain and inflammation, fatigue, shortness of breath, swelling in feet.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  14. 2021-12-16

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna

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 5 — day 14, dose 1

2021-03-17

Symptoms: One week after the shot my are became very swollen, purplish red and itchy. The pain in my arm/underarm was so bad that it prompted me to see an urgent care doctor. She informed me I had Moderna arm, predicted it would go away in 5 days, & it did.

Release 6 — day 21, dose 1

2021-03-25

Symptoms: My arm at the vaccine site is still slightly swollen and discolored, and the underarm is still sore.

Release 7 — day 35, dose 1

2021-04-08

Symptoms: Persistent pain and swelling of under arm area and new stiffness or shoulder and knee joints.

Release 7 — day 42, dose 1

2021-04-16

Symptoms: Headache, nausea, intestinal upset.

Release 9 — 6 months, dose 1

2021-09-02

Symptoms: Joint pain and inflammation, fatigue, shortness of breath, swelling in feet.

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
SDAbdominal discomfort ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDArthritis ✓ · ✓
SDAxillary pain ✓ ✓ ✓
SDDyspnoea ✓ · ✓
SDEmergency care ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDFatigue ✓ · ✓
SDHeadache ✓ ✓ ✓
SDImmunisation reaction ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPeripheral swelling ✓ · ✓
SDPruritus ✓ ✓ ✓
SDVaccination site discolouration ✓ ✓ ✓
SDVaccination site swelling ✓ ✓ ✓

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