43B-83805-25453
2 vaccinations
9 coded responses
23 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 220 / VA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
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2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain, Chest discomfort, Dizziness, Hot flush — Feeling: Good · Site: PainFree text: Light tightness when breathing, abdominal pinch, suddenly hot flashes, occasional bit dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Limb discomfort, Pain in extremity — Feeling: Good · Site: PainFree text: Some sharp pain in my arms, not very often but uncomfortableMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
- 2021-01-28
- 2021-02-04
- 2021-02-11
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2021-02-20
Dose 2 — Moderna
- 2021-02-20
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity, Peripheral swelling — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Nausea · Be unable to do your normal daily activitiesFree text: A few mins after the vaccine, my right arm began to hurt, my vaccine was in my left, later in, a bump appeared in the upper area of my right elbow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling — Feeling: Good · Site: SwellingFree text: right arm, upper elbow bump, swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: SwellingFree text: Right arm, upper elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Immunisation reaction — Feeling: Good · Site: SwellingFree text: Right arm on my upper elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: SwellingFree text: Right arm, upper elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: SwellingFree text: Right arme, upper elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — day 14, dose 2MedDRA: Breast pain, Mass — Feeling: GoodFree text: Pain in both of my breasts, some days hurts more than others. My lump on my right upper elbow is still there.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-05-22
- 2022-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-20 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Light tightness when breathing, abdominal pinch, suddenly hot flashes, occasional bit dizziness
Systemic reaction (other): Some sharp pain in my arms, not very often but uncomfortable
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): A few mins after the vaccine, my right arm began to hurt, my vaccine was in my left, later in, a bump appeared in the upper area of my right elbow.
Systemic reaction (other): right arm, upper elbow bump, swollen
Systemic reaction (other): Right arm, upper elbow
Systemic reaction (other): Right arm on my upper elbow
Systemic reaction (other): Right arm, upper elbow
Release 4 — day 7, dose 2
Systemic reaction (other): Right arme, upper elbow
Release 5 — day 14, dose 2
Symptoms: Pain in both of my breasts, some days hurts more than others. My lump on my right upper elbow is still there.
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 | Breast pain | ✓ | ✓ | ✓ |
| SD | Mass | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release