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4G6-92749-93875

2 vaccinations 4 coded responses 11 check-ins 4 free-text entries 2 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
891 / NV
Registered
2021-01-27
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-09
    Dose 1 — Moderna
  2. 2021-01-27
    Registered in v-safe
  3. 2021-01-27
    Survey response — day 14, dose 1
    MedDRA: Axillary mass, Emergency care, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I noticed a tendent like lump right armpit. It runs from my armpit down to the middle of my bicep a little sore. I noticed this approximately two weeks ago from today · Healthcare visit (other): Emergency room doctor made a appointment with my family practice doctor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-27
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-04
    Dose 2 — Moderna
  7. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  8. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-18
    Survey response — day 14, dose 2
    MedDRA: Adverse reaction, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I have a vein or cartilage like returning from the armpit running down the arm has the inside of my bicep · Healthcare visit (other): Went to see family practice doctor and she order a ultrasound of my armpit and bicep area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-18
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-02-25
    Survey response — day 21, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Right shoulder where I received vaccinations is still hurting from the first shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-14
  16. 2021-05-06
    Survey response — 3 months, dose 2
    MedDRA: Pain in extremity — Feeling: Fair
    Free text: The area around the first vaccination I am feeling some pain from the scale to 1 to 10 10 being the worst it's around a three or four
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-08-05
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Moderna
22021-02-04Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-27

Symptoms: I noticed a tendent like lump right armpit. It runs from my armpit down to the middle of my bicep a little sore. I noticed this approximately two weeks ago from today
Healthcare visit (other): Emergency room doctor made a appointment with my family practice doctor

Release 4 — day 14, dose 2

2021-02-18

Symptoms: I have a vein or cartilage like returning from the armpit running down the arm has the inside of my bicep
Healthcare visit (other): Went to see family practice doctor and she order a ultrasound of my armpit and bicep area

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Right shoulder where I received vaccinations is still hurting from the first shot

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: The area around the first vaccination I am feeling some pain from the scale to 1 to 10 10 being the worst it's around a three or four

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
HCVOEmergency care ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDAdverse reaction ✓ ✓ ✓
SDAxillary mass ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓

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