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4CG-16924-41811

2 vaccinations 4 coded responses 7 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
600 / IL
Registered
2021-04-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-04-13
    Registered in v-safe
  3. 2021-04-13
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site warmth, Peripheral swelling — Feeling: Good
    Free text: 8 days after 1st vaccine my arm swelled up, very red, hot and itchy where the shot was administered. The area was 5 in width. It went away 24 hrs later. On day 9 my lymph nodes under arms were itchy and a bit swollen. This also went away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-15
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-04-22
    Dose 2 — Moderna
  6. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  7. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Discomfort — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Ive had lots of pain in my back and torso since getting vaccine. And discomfort when breathing in.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches
    Adult check-in
  9. 2021-04-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Discomfort, Dyspnoea — Feeling: Poor · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Free text: Slight discomfort when breathing in has been a symptom since getting the 2nd vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-29
    Survey response — day 7, dose 2
    MedDRA: Dyspnoea exertional, Exercise tolerance decreased, Palpitations — Feeling: Poor · Site: Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Tried to workout and had hard time catching my breath and my heart was racing. Never had that happen before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-04-22Moderna

Free text

Release 7 — day 14, dose 1

2021-04-13

Symptoms: 8 days after 1st vaccine my arm swelled up, very red, hot and itchy where the shot was administered. The area was 5 in width. It went away 24 hrs later. On day 9 my lymph nodes under arms were itchy and a bit swollen. This also went away.

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Ive had lots of pain in my back and torso since getting vaccine. And discomfort when breathing in.

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Slight discomfort when breathing in has been a symptom since getting the 2nd vaccine

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Tried to workout and had hard time catching my breath and my heart was racing. Never had that happen before.

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 erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SRODyspnoea exertional ✓ ✓ ✓
SROExercise tolerance decreased ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓

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