3VJ-12227-53131
2 vaccinations
7 coded responses
26 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 232 / VA
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
- 2021-02-04
- 2021-02-05
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, SwellingFree text: Swelling is under my arm on the side I received the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Peripheral swelling — Feeling: Good · Site: SwellingFree text: Same swelling under my my armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
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2021-03-04
Dose 2 — Moderna
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizziness and loopyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-07
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness, NauseaFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Fatigue or tirednessFree text: Slight dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
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2021-04-15
Survey response — day 42, dose 2MedDRA: Cough — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: I caught a cold not COVID but have had a cough that seems to lingerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Survey response — 3 months, dose 2MedDRA: Oedema peripheral — Feeling: GoodFree text: Not sure if new but I am noticing a little puffiness under my left arm. I had significant swelling under my arm on that side after my first shot.The swelling had gone. I am not experiencing any pain or tenderness just increase in puffiness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-03
- 2022-03-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Swelling is under my arm on the side I received the shot
Systemic reaction (other): Same swelling under my my arm
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness and loopy
Systemic reaction (other): Dizziness
Systemic reaction (other): Slight dizziness
Release 7 — day 42, dose 2
Symptoms: I caught a cold not COVID but have had a cough that seems to linger
Release 8 — 3 months, dose 2
Symptoms: Not sure if new but I am noticing a little puffiness under my left arm. I had significant swelling under my arm on that side after my first shot.The swelling had gone. I am not experiencing any pain or tenderness just increase in puffiness.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release