3LP-16269-48615
2 vaccinations
16 coded responses
23 check-ins
16 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 071 / NJ
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-29
Dose 1 — Moderna
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2021-03-31
Registered in v-safe
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: GoodFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Chest discomfort, Dizziness, Head discomfort, Injection site pain, Memory impairment, Neck pain, Pain, Pain in extremity, Paraesthesia — Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: This started yesterday but I originally didnt think it was vaccine related. But now I'm not so sure. It started with a pain in my armpit. Like inside. Not superficial (I tried finding the spot by running my hand but I couldnt pin point it.) It's not radical;its very much localized in one spot. Feels like a pencil point is applying constaant pressure. So today the arm feels tingly like it's about ti fall asleep . This weird feeling comes from my neck (I can a weird neck pain when my arm hurt from the vaccine-same spot), in my arm pit, pass my biceps (exactly where I got the shot), down my arm and through my fingers (esp the middle and ring). Theres a numbness and weakness that runs all along the arm. Its constant with no break of relief. I thi k it might be the axillary nerve bc it starts in the neck and runs through the armpit before crossing over the upper arm bone l. It branches into a motor nerve to the shoulder muscles and a sensory nerve to the shoulder. How this relates to the vaccine, I'm not sure. But it never happened to me before and its on the arm I got the shot and it runs through the exact spot of the injection and the same neck pain. Also I've noticed some random memory problems with my short term memory . I'll do things and ill have no recollection of it. Also started yesterday. As well, My head feels heavy (and oddly dizzy) and my chest feels weird.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — day 7, dose 1MedDRA: Axillary pain, Hypoaesthesia, Neck mass, Neck pain — Feeling: Good · Site: Itching · Fatigue or tiredness, NauseaFree text: Still the same pain under my arm (armpit) and my neck. (Plus light numbness)And now theres a lump on my neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — day 14, dose 1MedDRA: Axillary pain, Feeling abnormal, Neck mass, Pain in extremity, Peripheral swelling, Rash, Sensory loss — Feeling: GoodFree text: My arm tgat got the injection got a rash and started to hurt again plus swelling. But worse is the lump on my neck; its still there and it feels weird. Also the pain under my arm is still there though I got feeling back in my arm and hands.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
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2021-04-26
Dose 2 — Moderna
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2021-04-26
Survey response — day 0, dose 2MedDRA: Neck pain — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal painFree text: Neck hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Insomnia, Neck pain, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: You need a stronger word than severe for that arm pain. It feels like i was shot. Also dizziness, neck pain, insomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Hypoaesthesia — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Dizziness, numbness in the arm and handMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Chest pain, Dizziness, Insomnia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Severe insomnia(slept not a wink), chest pains (like my heart is being squeezed) , dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness, neck painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Insomnia, Mass — Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness, lump, and insomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — day 7, dose 2MedDRA: Dizziness, Mass — Feeling: Good · Site: Itching · HeadacheFree text: Dizziness and lumpMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — day 14, dose 2MedDRA: Neck mass — Feeling: GoodFree text: Still have a limp in my neck since the first shot. Its uncomfortable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Survey response — day 21, dose 2MedDRA: Mass, Pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: The lump has not gone away and it hurts. And im worried · Healthcare visit (other): I havent had my appt. yet. Its friMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-07-31
- 2021-10-25
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2022-04-27
Survey response — 12 months, dose 2MedDRA: Arrhythmia, Mitral valve prolapse, Premenstrual dysphoric disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Valve prolapse, arrhythmia, pmddMedDRA releases: 2024-11 · check-in free text available
- 2022-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness
Systemic reaction (other): Insomnia
Systemic reaction (other): This started yesterday but I originally didnt think it was vaccine related. But now I'm not so sure. It started with a pain in my armpit. Like inside. Not superficial (I tried finding the spot by running my hand but I couldnt pin point it.) It's not radical;its very much localized in one spot. Feels like a pencil point is applying constaant pressure. So today the arm feels tingly like it's about ti fall asleep . This weird feeling comes from my neck (I can a weird neck pain when my arm hurt from the vaccine-same spot), in my arm pit, pass my biceps (exactly where I got the shot), down my arm and through my fingers (esp the middle and ring). Theres a numbness and weakness that runs all along the arm. Its constant with no break of relief. I thi k it might be the axillary nerve bc it starts in the neck and runs through the armpit before crossing over the upper arm bone l. It branches into a motor nerve to the shoulder muscles and a sensory nerve to the shoulder. How this relates to the vaccine, I'm not sure. But it never happened to me before and its on the arm I got the shot and it runs through the exact spot of the injection and the same neck pain. Also I've noticed some random memory problems with my short term memory . I'll do things and ill have no recollection of it. Also started yesterday. As well, My head feels heavy (and oddly dizzy) and my chest feels weird.
Release 6 — day 7, dose 1
Systemic reaction (other): Still the same pain under my arm (armpit) and my neck. (Plus light numbness)And now theres a lump on my neck
Release 7 — day 14, dose 1
Symptoms: My arm tgat got the injection got a rash and started to hurt again plus swelling. But worse is the lump on my neck; its still there and it feels weird. Also the pain under my arm is still there though I got feeling back in my arm and hands.
Release 8 — day 0, dose 2
Systemic reaction (other): Neck hurts
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): You need a stronger word than severe for that arm pain. It feels like i was shot. Also dizziness, neck pain, insomnia
Systemic reaction (other): Dizziness, numbness in the arm and hand
Systemic reaction (other): Severe insomnia(slept not a wink), chest pains (like my heart is being squeezed) , dizziness
Systemic reaction (other): Dizziness, neck pain
Systemic reaction (other): Dizziness, lump, and insomnia
Systemic reaction (other): Dizzy
Release 8 — day 7, dose 2
Systemic reaction (other): Dizziness and lump
Release 8 — day 14, dose 2
Symptoms: Still have a limp in my neck since the first shot. Its uncomfortable.
Release 8 — day 21, dose 2
Symptoms: The lump has not gone away and it hurts. And im worried
Healthcare visit (other): I havent had my appt. yet. Its fri
Release 11 — 12 months, dose 2
Symptoms: Valve prolapse, arrhythmia, pmdd
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arrhythmia | · | · | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Mass | ✓ | ✓ | ✓ |
| SD | Mitral valve prolapse | · | · | ✓ |
| SD | Neck mass | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Premenstrual dysphoric disorder | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Sensory loss | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Mass | ✓ | ✓ | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Neck mass | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release