4CL-28145-88375
3 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 535 / WI
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-19
- 2021-01-22
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2021-01-27
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site induration, Injection site irritation, Injection site pruritus, Injection site rash, Injection site warmth — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Redness at injection site spreading down arm. Starting day 8 post injection. Was hard, red, hot to touch. Now splotchy pink and itchy. Mildly irritating. Not painful. NO other side effects.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-03
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2021-02-10
Dose 2 — Moderna
- 2021-02-10
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Immunisation reaction, Induration, Pruritus, Reaction to previous exposure to any vaccine, Skin warm — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: I have developed "covid arm" on the arm where i got the injection. I had it after the first shot on day 8, and just last night, about 2.5 days post 2nd injection, developed it on this arm. It is hard, red, hot to the touch, itchy and spreading just like the previous time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Covid arm" symptoms still present. Starting to fade already. Noticed a swollen tender lymph node in arm pit (same arm as injection.)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Immunisation reaction — Feeling: Good · Site: Redness, ItchingFree text: Covid arm symptoms still present, but slowly going away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-18
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-18
- 2021-03-24
- 2021-04-15
- 2021-05-12
- 2021-08-11
-
2021-11-19
Dose 3 — Moderna
- 2022-02-10
- 2022-05-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: Redness at injection site spreading down arm. Starting day 8 post injection. Was hard, red, hot to touch. Now splotchy pink and itchy. Mildly irritating. Not painful. NO other side effects.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have developed "covid arm" on the arm where i got the injection. I had it after the first shot on day 8, and just last night, about 2.5 days post 2nd injection, developed it on this arm. It is hard, red, hot to the touch, itchy and spreading just like the previous time.
Systemic reaction (other): Covid arm" symptoms still present. Starting to fade already. Noticed a swollen tender lymph node in arm pit (same arm as injection.)
Systemic reaction (other): Covid arm symptoms still present, but slowly going away.
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site induration | ✓ | ✓ | ✓ |
| SD | Injection site irritation | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Induration | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release