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44R-20727-42911

2 vaccinations 6 coded responses 6 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
342 / FL
Registered
2021-04-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-02
    Dose 1 — Moderna
  2. 2021-04-30
    Registered in v-safe
  3. 2021-04-30
    Dose 2 — Moderna
  4. 2021-04-30
    Survey response — day 0, dose 2
    MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: At the moment, my left arm is sore where I received the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain, Paraesthesia — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Left arm pain around shot area, and left arm was tingling.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Administration site bruise, Administration site pain, Injection site bruising, Injection site pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Soreness and bruising from where the shot was it administered on my left arm. I do Not think the second shot was handled as well as the first shot by the nurse.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising, Injection site pain, Movement disorder, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: My left arm is sore and has limited motion. The person that gave me the shot did not do it correctly. He didnt wait until my arm was relaxed before he gave me the shot, the area is bruised and sore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-08
    Survey response — day 7, dose 2
    MedDRA: Anxiety, Arthralgia, Hypoaesthesia, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: My left arm and left knee has been bothering me all week. My left arm and knee are experiencing numbness and soreness. It doesnt feel right and Im worried.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-23
    Survey response — day 21, dose 2
    MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: The back of my left knee has been hurting since I got the 2nd shot. Im worried that it may be some kind of a blood clot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-02Moderna
22021-04-30Moderna

Free text

Release 8 — day 0, dose 2

2021-04-30

Systemic reaction (other): At the moment, my left arm is sore where I received the shot.

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Left arm pain around shot area, and left arm was tingling.

2021-05-02

Systemic reaction (other): Soreness and bruising from where the shot was it administered on my left arm. I do Not think the second shot was handled as well as the first shot by the nurse.

2021-05-04

Systemic reaction (other): My left arm is sore and has limited motion. The person that gave me the shot did not do it correctly. He didnt wait until my arm was relaxed before he gave me the shot, the area is bruised and sore.

Release 8 — day 7, dose 2

2021-05-08

Systemic reaction (other): My left arm and left knee has been bothering me all week. My left arm and knee are experiencing numbness and soreness. It doesnt feel right and Im worried.

Release 8 — day 21, dose 2

2021-05-23

Symptoms: The back of my left knee has been hurting since I got the 2nd shot. Im worried that it may be some kind of a blood clot.

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
SDArthralgia ✓ ✓ ✓
SROAdministration site bruise ○ ✓ ○
SROAdministration site pain ○ ✓ ○
SROAnxiety ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMovement disorder ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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