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
-
2021-01-09
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
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2021-01-27
Survey response — day 14, dose 1MedDRA: Axillary mass, Emergency care, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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 doctorMedDRA 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)
- 2021-02-01
-
2021-02-04
Dose 2 — Moderna
- 2021-02-08
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-11
-
2021-02-18
Survey response — day 14, dose 2MedDRA: Adverse reaction, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree 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 areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-25
Survey response — day 21, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Right shoulder where I received vaccinations is still hurting from the first shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-19
- 2021-04-14
-
2021-05-06
Survey response — 3 months, dose 2MedDRA: Pain in extremity — Feeling: FairFree 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 fourMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — day 14, dose 1
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
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
Symptoms: Right shoulder where I received vaccinations is still hurting from the first shot
Release 8 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Emergency care | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Axillary mass | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release