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3U8-28032-09594

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
840 / UT
Registered
2021-05-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-12
    Dose 1 — Moderna
  2. 2021-05-14
    Registered in v-safe
  3. 2021-05-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Breast pain, Pain — Feeling: Fair · Site: Pain
    Free text: Dull, but sometimes sharp pain I'm my left armpit moving into my left breast. My shot was given in my left arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Breast tenderness, Tenderness — Feeling: Fair · Muscle or body aches
    Free text: Still have swimming and tenderness in my left armpit and into my left breast. Trailling down the immersive of my left arm. Shot was given in my left arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Breast pain, Breast swelling, Oedema peripheral — Feeling: Fair · Muscle or body aches
    Free text: Still swelling and pain in my left armpit into my left breast and underside of my left arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Breast pain, Breast swelling, Oedema peripheral — Feeling: Fair · Muscle or body aches
    Free text: Still swelling and pain in my left armpit and into my left breast and underarm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Tenderness — Feeling: Good · Muscle or body aches
    Free text: Still a little bit of swelling and tenderness in my left armpit and underarm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-06-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-06-09
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-06-15
    Dose 2 — Moderna
  12. 2021-06-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-06-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Free text: Gland in injection arm swelling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-06-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Still mild swelling in my right armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  16. 2021-06-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-06-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  18. 2021-06-22
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-06-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-12-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-06-17
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-12Moderna
22021-06-15Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-14

Systemic reaction (other): Dull, but sometimes sharp pain I'm my left armpit moving into my left breast. My shot was given in my left arm.

2021-05-15

Systemic reaction (other): Still have swimming and tenderness in my left armpit and into my left breast. Trailling down the immersive of my left arm. Shot was given in my left arm.

2021-05-16

Systemic reaction (other): Still swelling and pain in my left armpit into my left breast and underside of my left arm.

2021-05-17

Systemic reaction (other): Still swelling and pain in my left armpit and into my left breast and underarm.

2021-05-18

Systemic reaction (other): Still a little bit of swelling and tenderness in my left armpit and underarm.

Release 9 — days 1–6 daily, dose 2

2021-06-17

Systemic reaction (other): Gland in injection arm swelling

2021-06-18

Systemic reaction (other): Still mild swelling in my right armpit

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

FieldPreferred term2021-092023-042024-11
SROAxillary pain ✓ ✓ ✓
SROBreast pain ✓ ✓ ✓
SROBreast swelling ✓ ✓ ✓
SROBreast tenderness ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release