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
-
2021-03-03
Registered in v-safe
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2021-03-03
Dose 1 — Moderna
- 2021-03-03
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2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-03-07
- 2021-03-08
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2021-03-17
Survey response — day 14, dose 1MedDRA: 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 visitFree 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
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2021-03-17
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-25
Survey response — day 21, dose 1MedDRA: Axillary pain, Vaccination site discolouration, Vaccination site swelling — Feeling: FairFree 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
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2021-04-08
Survey response — day 35, dose 1MedDRA: Arthralgia, Axillary pain — Feeling: FairFree 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
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2021-04-16
Survey response — day 42, dose 1MedDRA: Abdominal discomfort, Headache, Nausea — Feeling: FairFree text: Headache, nausea, intestinal upset.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-02
Survey response — 6 months, dose 1MedDRA: Arthralgia, Arthritis, Dyspnoea, Fatigue, Peripheral swelling — Feeling: FairFree text: Joint pain and inflammation, fatigue, shortness of breath, swelling in feet.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 14, dose 1
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
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
Symptoms: Persistent pain and swelling of under arm area and new stiffness or shoulder and knee joints.
Release 7 — day 42, dose 1
Symptoms: Headache, nausea, intestinal upset.
Release 9 — 6 months, dose 1
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Arthritis | ✓ | · | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Vaccination site discolouration | ✓ | ✓ | ✓ |
| SD | Vaccination site swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release