3QP-17879-52667
3 vaccinations
9 coded responses
38 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 604 / IL
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
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2021-03-05
Dose 1 — Moderna
- 2021-03-05
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-10
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Soreness in my right armpit same arm I received the shot in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — day 7, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: Pain in right armpit (same arm I received shot in)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-26
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2021-04-01
Dose 2 — Moderna
- 2021-04-01
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Swelling and pain in my right armpit the same I received the shot inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swelling and some pain in right armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: Swelling under right arm same arm I received shot inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Oedema peripheral — Feeling: GoodFree text: Little pain and swelling under right arm same arm I received shot inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Peripheral swelling — Feeling: GoodFree text: Swelling a a bit of pain under my right arm same arm I received shot inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 7, dose 2MedDRA: Axillary pain, Oedema peripheral — Feeling: GoodFree text: A bit of swelling and pain under my right arm same arm I received shot inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
- 2021-09-30
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2022-04-06
Dose 3 — Moderna
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2022-04-07
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-04-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-04-09
Survey response — days 1–6 daily, dose 3MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · HeadacheFree text: Not a clear head a feeling of fuzzinessMedDRA releases: 2024-11 · check-in free text available
- 2022-04-10
- 2022-04-11
- 2022-04-12
- 2022-04-13
- 2022-04-20
- 2022-05-11
- 2022-05-18
- 2022-07-06
- 2022-10-07
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2022-04-06 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness in my right armpit same arm I received the shot in.
Release 5 — day 7, dose 1
Systemic reaction (other): Pain in right armpit (same arm I received shot in)
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling and pain in my right armpit the same I received the shot in
Systemic reaction (other): Swelling and some pain in right armpit
Systemic reaction (other): Swelling under right arm same arm I received shot in
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Little pain and swelling under right arm same arm I received shot in
Systemic reaction (other): Swelling a a bit of pain under my right arm same arm I received shot in
Release 7 — day 7, dose 2
Systemic reaction (other): A bit of swelling and pain under my right arm same arm I received shot in
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Not a clear head a feeling of fuzziness
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 |
|---|---|---|---|---|
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release