3MA-54817-16342
4 vaccinations
8 coded responses
46 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 482 / MI
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
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2021-02-27
Survey response — day 14, dose 1MedDRA: Injection site swelling — Feeling: GoodFree text: Swelling at the site were I was given shot 12 days agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — day 21, dose 1MedDRA: Dyspepsia, Gastrooesophageal reflux disease, Injection site swelling, Peripheral swelling — Feeling: FairFree text: My arm is still a little swollen since I report the extreme swelling I had in my left arm where I received my vaccine. I am having Heartburn or acid reflux frequently.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Dose 2 — Moderna
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Fair · Site: Pain, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I had my second shot in my right arm but my left arm was aching earlier and up til a couple hours ago they were both hurting. Its cooling down some now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Limb discomfort — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: My legs were extremely heavy yesterday but Im feeling a lot better todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Good · Site: ItchingFree text: Mild pain in the other site where shot was given but nothing as bad as the other two days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: Mild headache for last 24 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-06-08
- 2021-09-09
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2021-10-27
Dose 3 — Moderna
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, NauseaAdult check-in
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort, Muscle spasms, Paraesthesia, Self-medication — Feeling: FairFree text: Tingling on right side of face taking Tylenol for comfort Cramping on right side which is side I received shot on.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-25
- 2021-12-01
- 2021-12-08
- 2022-01-26
- 2022-04-28
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2022-05-21
Dose 4 — Moderna
- 2022-05-21
- 2022-05-22
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2022-05-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Joint pains, Fatigue or tirednessAdult check-in
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2022-05-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling · Muscle or body achesAdult check-in
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2022-05-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-06-04
- 2022-06-13
- 2022-06-18
- 2022-06-25
- 2022-07-02
- 2022-08-20
- 2022-11-19
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2023-05-25
Survey response — 12 months, dose 4MedDRA: Illness, Malaise, Office visit, Oropharyngeal pain, Sinus disorder — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
- 2023-05-25
- 2023-05-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-05-21 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 14, dose 1
Symptoms: Swelling at the site were I was given shot 12 days ago
Release 4 — day 21, dose 1
Symptoms: My arm is still a little swollen since I report the extreme swelling I had in my left arm where I received my vaccine. I am having Heartburn or acid reflux frequently.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I had my second shot in my right arm but my left arm was aching earlier and up til a couple hours ago they were both hurting. Its cooling down some now.
Systemic reaction (other): My legs were extremely heavy yesterday but Im feeling a lot better today
Systemic reaction (other): Mild pain in the other site where shot was given but nothing as bad as the other two days.
Systemic reaction (other): Mild headache for last 24 hours
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tingling on right side of face taking Tylenol for comfort Cramping on right side which is side I received shot on.
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 | Office visit | · | · | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release