3NX-29427-33153
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 473 / IN
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-07
Dose 1 — Moderna
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2021-01-08
Registered in v-safe
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · HeadacheFree text: Arm pain gets worse when I lift my arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheFree text: arm pain only when I lift my arm over my head.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Pain in extremity, Peripheral swelling — Feeling: Fair · Site: Pain, Redness, SwellingFree text: Redness and swelling better, but not gone. Pain only periodically, if I raise my arm as high ad possible.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Injection site erythema — Feeling: Fair · Site: RednessFree text: The redness is going away, but it is still obvious where I had shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-14
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2021-01-21
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Medical counselling — Feeling: FairFree text: 8 days after vacc, shot site became red, swollen, and itchy. Felt almost exactly like it did day after shot. Only difference, arm wasn't painful. Took 4 days to resolve. Shot site still obvious. Told by NP shot was given a little lower than expectedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
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2021-02-04
Dose 2 — Moderna
- 2021-02-04
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I forgot to note yesterday that I worked from home the day after vacc. If I hadn't I would have had to miss work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
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2021-03-04
Survey response — day 28, dose 2MedDRA: Headache — Feeling: PoorFree text: Bad headache today. Not sure what it is related to.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-07
- 2022-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Arm pain gets worse when I lift my arm.
Systemic reaction (other): arm pain only when I lift my arm over my head.
Systemic reaction (other): Redness and swelling better, but not gone. Pain only periodically, if I raise my arm as high ad possible.
Systemic reaction (other): The redness is going away, but it is still obvious where I had shot.
Release 2 — day 14, dose 1
Symptoms: 8 days after vacc, shot site became red, swollen, and itchy. Felt almost exactly like it did day after shot. Only difference, arm wasn't painful. Took 4 days to resolve. Shot site still obvious. Told by NP shot was given a little lower than expected cut off by CDC
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I forgot to note yesterday that I worked from home the day after vacc. If I hadn't I would have had to miss work.
Release 5 — day 28, dose 2
Symptoms: Bad headache today. Not sure what it is related to.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release