43U-14680-09395
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 622 / IL
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
- 2021-01-22
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-01-26
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-01-29
-
2021-02-05
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Day 7 am Friday Jan 29 itching to injection site. Day 7 evening- swelling, redness to site. Day 8 Jan 30-circular redness, warmth, swelling to injection site. Pain to lymph nodes under arm and armpit. Slight swelling to lymph nodes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
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2021-02-19
Dose 2 — Moderna
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2021-02-26
Health check-in — day 7, dose 2Feeling: Good · Site: Itching · Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-05
Survey response — day 14, dose 2MedDRA: Movement disorder, Pain, Periarthritis — Feeling: GoodFree text: Have a diagnosis of frozen shoulder. Increased pain and decreased ROM since Sunday Feb 28.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
-
2021-03-19
Survey response — day 28, dose 2MedDRA: Arthralgia, Blood glucose increased, Periarthritis, Type 1 diabetes mellitus — Feeling: GoodFree text: Type I diabetes-Higher blood sugars this week without a causeHistory of frozen shoulder- increase in pain to that shoulder including elbow and wrist of the affected armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-05-27
- 2021-08-22
- 2022-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Free text
Release 3 — day 14, dose 1
Symptoms: Day 7 am Friday Jan 29 itching to injection site. Day 7 evening- swelling, redness to site. Day 8 Jan 30-circular redness, warmth, swelling to injection site. Pain to lymph nodes under arm and armpit. Slight swelling to lymph nodes.
Release 5 — day 14, dose 2
Symptoms: Have a diagnosis of frozen shoulder. Increased pain and decreased ROM since Sunday Feb 28.
Release 5 — day 28, dose 2
Symptoms: Type I diabetes-Higher blood sugars this week without a causeHistory of frozen shoulder- increase in pain to that shoulder including elbow and wrist of the affected 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Blood glucose increased | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Movement disorder | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Periarthritis | ✓ | ✓ | ✓ |
| SD | Type 1 diabetes mellitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release