3J7-17859-17800
1 vaccination
2 coded responses
8 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 136 / NY
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Dose 1 — Moderna
-
2021-03-23
Registered in v-safe
-
2021-03-23
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-30
Survey response — day 14, dose 1MedDRA: Burning sensation, Fatigue, Malaise, Oedema peripheral, Pain in extremity, Pruritus, Rash, Tenderness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Rash on arm is finally gone, it took over my entire upper arm for a week with itching, swelling, burning, and couldnt touch it ,too painful. Felt terrible for the week and very tired. I am not getting the second one.informed my Doctor of this arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Survey response — day 21, dose 1MedDRA: Burning sensation, Injection site pain, Pain in extremity, Peripheral swelling, Pruritus, Rash, Swelling, Temperature intolerance — Feeling: FairFree text: Arm sensitive to heat then itch starts. Its been 3 weeks since i got the first vaccine and i won't be getting the second dose, refuse to go through this swelling, pain, burning, itch and rash covering around my entire upper arm again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-27
- 2021-06-15
- 2021-09-16
- 2022-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna |
Free text
Release 6 — day 14, dose 1
Symptoms: Rash on arm is finally gone, it took over my entire upper arm for a week with itching, swelling, burning, and couldnt touch it ,too painful. Felt terrible for the week and very tired. I am not getting the second one.informed my Doctor of this arm. cut off by CDC
Release 7 — day 21, dose 1
Symptoms: Arm sensitive to heat then itch starts. Its been 3 weeks since i got the first vaccine and i won't be getting the second dose, refuse to go through this swelling, pain, burning, itch and rash covering around my entire upper arm again.
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 | Burning sensation | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site pain | ○ | ✓ | ○ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Swelling | ○ | ✓ | ○ |
| SD | Temperature intolerance | ✓ | · | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release