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3ZN-23180-64677

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
864 / AZ
Registered
2020-12-28
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-28
    Registered in v-safe
  2. 2020-12-28
    Dose 1 — Moderna
  3. 2020-12-28
    Survey response — day 0, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: moderate pain site of injection on right upper arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Free text: Soreness at site of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  7. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-13
    Survey response — day 14, dose 1
    MedDRA: Injection site pruritus, Myalgia, Pain — Feeling: Good
    Free text: My last check in jan 4 didn't received anymore text messages but the next day vaccine area was itchy then very painful to lift my arm and throbbing pain in muscle of right arm one week later next day my arm was fine no symptoms at all
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-25
    Dose 2 — Moderna
  14. 2021-01-25
    Survey response — day 0, dose 2
    MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Moderate to severe pain left arm site area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site warmth — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Severe pain injection site warm touch
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site swelling, Injection site warmth — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to work
    Free text: Swelling and hot touch injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Pain injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-26
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-07-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Moderna
22021-01-25Moderna

Free text

Release 1 — day 0, dose 1

2020-12-28

Systemic reaction (other): moderate pain site of injection on right upper arm

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Soreness at site of injection

Release 1 — day 14, dose 1

2021-01-13

Symptoms: My last check in jan 4 didn't received anymore text messages but the next day vaccine area was itchy then very painful to lift my arm and throbbing pain in muscle of right arm one week later next day my arm was fine no symptoms at all

Release 2 — day 0, dose 2

2021-01-25

Systemic reaction (other): Moderate to severe pain left arm site area

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Severe pain injection site warm touch

2021-01-27

Systemic reaction (other): Swelling and hot touch injection site

2021-01-28

Systemic reaction (other): Pain injection site

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
SDInjection site pruritus ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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

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