3Z8-17499-15703
2 vaccinations
12 coded responses
24 check-ins
12 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 207 / MD
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-28
Registered in v-safe
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2021-02-28
Dose 1 — Moderna
- 2021-02-28
- 2021-03-01
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Pain on top and to the back of shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Contusion — Feeling: GoodFree text: Pain and bruised top of shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Contusion — Feeling: GoodFree text: Top of shoulder still sore and bruisedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Contusion, Musculoskeletal discomfort — Feeling: GoodFree text: Shoulder still sore and bruisedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — day 7, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Pain has move to my elbow and still sore some on top/back of shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-21
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2021-03-27
Dose 2 — Moderna
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Redness, SwellingFree text: Swelling under my underarmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, SwellingFree text: Underarm still swollen and painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, SwellingFree text: Swelling underneath underarmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Oedema peripheral — Feeling: Fair · HeadacheFree text: Underarm still swollen and elbow still hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Oedema peripheral — Feeling: GoodFree text: Some swelling underarm and elbow still hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — day 7, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Elbow still hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — day 14, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Elbow is still hurtingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-27
- 2021-05-02
- 2021-05-08
- 2021-06-26
- 2021-09-26
- 2022-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Moderna | |
| 2 | 2021-03-27 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Pain on top and to the back of shoulder
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Pain and bruised top of shoulder
Systemic reaction (other): Top of shoulder still sore and bruised
Systemic reaction (other): Shoulder still sore and bruised
Release 5 — day 7, dose 1
Systemic reaction (other): Pain has move to my elbow and still sore some on top/back of shoulder
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling under my underarm
Systemic reaction (other): Underarm still swollen and pain
Systemic reaction (other): Swelling underneath underarm
Systemic reaction (other): Underarm still swollen and elbow still hurts
Systemic reaction (other): Some swelling underarm and elbow still hurts
Release 6 — day 7, dose 2
Systemic reaction (other): Elbow still hurts
Release 7 — day 14, dose 2
Symptoms: Elbow is still hurting
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 | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ○ | ✓ | ○ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release