3QQ-25668-56629
3 vaccinations
3 coded responses
10 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 265 / WV
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Dose 1 — Moderna
-
2021-03-30
Registered in v-safe
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-04-02
Survey response — day 7, dose 1MedDRA: Oedema peripheral, Tenderness — Feeling: Good · Site: Pain, Redness, SwellingFree text: I had axillary swelling and tenderness since March 30 night (I took the first dose on March 25). The symptom was obvious on the night of March 30 until March 31. Since the noon of April 1st, the symptom has been lessened .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
-
2021-04-22
Dose 2 — Moderna
- 2021-04-22
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Chills, Headache, Nausea, Pain, Pyrexia — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: On the morning of Apr 22, I took the second shot. Since midnight of Apr 23, I had fever, chill, body aches, headache, a bit nausea until Apr 24 morning. Since Apr 24, I had severe axillary pain until Apr 25. Since the night of Apr 25, I had headache until today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-05-06
- 2021-10-21
-
2021-10-26
Dose 3 — Moderna
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Pyrexia, Tenderness — Feeling: GoodFree text: I had headache, fever and tenderness of armpit from 10/26-10/27MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): I had axillary swelling and tenderness since March 30 night (I took the first dose on March 25). The symptom was obvious on the night of March 30 until March 31. Since the noon of April 1st, the symptom has been lessened .
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): On the morning of Apr 22, I took the second shot. Since midnight of Apr 23, I had fever, chill, body aches, headache, a bit nausea until Apr 24 morning. Since Apr 24, I had severe axillary pain until Apr 25. Since the night of Apr 25, I had headache until today.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had headache, fever and tenderness of armpit from 10/26-10/27
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 | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release