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42D-73746-25266

3 vaccinations 6 coded responses 16 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
554 / MN
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Registered in v-safe
  2. 2021-03-03
    Dose 1 — Moderna
  3. 2021-03-03
    Health check-in — day 0, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Extreme sore arm where injection was
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-31
    Dose 2 — Moderna
  7. 2021-03-31
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · None
    Adult check-in
  11. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness, Diarrhea
    Free text: Just not myself yet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-07-02
    Survey response — 3 months, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: My last Moderna shot was March 31 and for about a month after, I was experiencing pain in the left arm where I had the injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-09-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-01-20
    Dose 3 — Moderna
  16. 2022-01-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Adverse reaction — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Thought that Moderna half strength booster wouldn't be as bad as second dose but was for me
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-01-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Oedema peripheral, Tenderness — Feeling: Fair · Site: Swelling · Be unable to do your normal daily activities
    Free text: Arm pit swelling and tender pain. Using heated bed buddy or washcloth compress
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-01-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Oedema peripheral, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Free text: I am an asthmatic and I really wasn't going to get this booster shot, but because I'm a substitute teacher that works periodically, I decided to, but didn't realize I would have the swelling under my right armpit as I had the booster in right arm.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-01-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  20. 2022-01-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-31Moderna
32022-01-20Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Extreme sore arm where injection was

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Just not myself yet.

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: My last Moderna shot was March 31 and for about a month after, I was experiencing pain in the left arm where I had the injection.

Release 11 — days 1–6 daily, dose 3

2022-01-21

Systemic reaction (other): Thought that Moderna half strength booster wouldn't be as bad as second dose but was for me

2022-01-22

Systemic reaction (other): Arm pit swelling and tender pain. Using heated bed buddy or washcloth compress

2022-01-23

Systemic reaction (other): I am an asthmatic and I really wasn't going to get this booster shot, but because I'm a substitute teacher that works periodically, I decided to, but didn't realize I would have the swelling under my right armpit as I had the booster in right arm.

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 pain ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROAxillary pain · · ✓
SROInjection site pain ✓ ✓ ✓
SROOedema peripheral · · ✓
SROPre-existing disease · · ✓
SROTenderness · · ✓

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