45K-11109-30943
3 vaccinations
6 coded responses
38 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 629 / IL
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-03-12
Registered in v-safe
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: PainFree text: No. By pain I mean just sore. No big deal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
-
2021-04-01
Survey response — day 21, dose 1MedDRA: Chest pain, Pain in extremity, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My left arm is tingly and have low grade pain in it. Have pains right above heart. Never experienced this before. Always been very healthy and take no medication s.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-08
Dose 2 — Moderna
- 2021-04-08
- 2021-04-09
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity, Tenderness — Feeling: GoodFree text: Arm barely sore if touch where shot injected.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-06-07
- 2021-07-08
- 2021-10-07
-
2021-12-16
Dose 3 — Moderna
- 2021-12-16
- 2021-12-17
- 2021-12-18
- 2021-12-19
- 2021-12-20
- 2021-12-22
- 2021-12-23
- 2021-12-30
-
2022-01-06
Survey response — day 21, dose 3MedDRA: Cardiac disorder, Lymphadenopathy, Sensory disturbance, Vaccine positive rechallenge — Feeling: GoodFree text: Have funny feeling around heart. Like something floating around it. No pain or shortness of breath. After first shot did same thing but also went down in left arm. Feels like lymph nodes swoll up under right arm also.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-13
-
2022-01-20
Survey response — day 35, dose 3MedDRA: Chest discomfort — Feeling: GoodFree text: Still feel funny around heart area. Never had any issues till had Covid shots.MedDRA releases: 2024-11 · check-in free text available
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2022-01-29
Survey response — day 42, dose 3MedDRA: Chest discomfort, Feeling abnormal — Feeling: GoodFree text: Ever since two weeks after vaccination, have had funny feeling in chest area. Maybe it is from swollen lymph nodes. I don't have any difficulty breathing or heart palpitations but certainly feels weird.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-19
- 2022-06-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): No. By pain I mean just sore. No big deal.
Release 6 — day 21, dose 1
Symptoms: My left arm is tingly and have low grade pain in it. Have pains right above heart. Never experienced this before. Always been very healthy and take no medication s.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Arm barely sore if touch where shot injected.
Release 10 — day 21, dose 3
Symptoms: Have funny feeling around heart. Like something floating around it. No pain or shortness of breath. After first shot did same thing but also went down in left arm. Feels like lymph nodes swoll up under right arm also.
Release 10 — day 35, dose 3
Symptoms: Still feel funny around heart area. Never had any issues till had Covid shots.
Release 11 — day 42, dose 3
Symptoms: Ever since two weeks after vaccination, have had funny feeling in chest area. Maybe it is from swollen lymph nodes. I don't have any difficulty breathing or heart palpitations but certainly feels weird.
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 | Cardiac disorder | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release