4L5-24823-90160
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 613 / IL
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-01-29
Registered in v-safe
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2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
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2021-02-11
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth — Feeling: GoodFree text: Injection site became red, hot to the touch, itchy, and had a bump under it. This lasted from Day 8 to about Day 12. There is still a half-dollar size red circle on my arm but other symptoms have resolved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-25
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2021-03-01
Dose 2 — Moderna
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Pain — Feeling: Good · Site: Pain, Itching · DiarrheaFree text: The day after the shot I had body aches and fatigue all day. Also 8 days after the FIRST shot I had swelling, itchiness, redness, and warmth at the injection site. This lasted for about 4 days. It was a new symptom as the injection site had not been sore for about 6 days prior.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-17
- 2021-03-22
- 2021-03-29
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2021-04-05
Survey response — day 35, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Pain in my upper left back and upper left chest. Seems to come from my spine. May be a work out energy or related to fibromyalgia.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 42, dose 2MedDRA: Back pain, Chest pain, Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Upper back and chest pain. Pain down the left arm. Fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-31
- 2021-09-01
- 2022-02-18
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-03-01 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
Symptoms: Injection site became red, hot to the touch, itchy, and had a bump under it. This lasted from Day 8 to about Day 12. There is still a half-dollar size red circle on my arm but other symptoms have resolved.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): The day after the shot I had body aches and fatigue all day. Also 8 days after the FIRST shot I had swelling, itchiness, redness, and warmth at the injection site. This lasted for about 4 days. It was a new symptom as the injection site had not been sore for about 6 days prior.
Release 6 — day 35, dose 2
Symptoms: Pain in my upper left back and upper left chest. Seems to come from my spine. May be a work out energy or related to fibromyalgia.
Release 7 — day 42, dose 2
Symptoms: Upper back and chest pain. Pain down the left arm. Fatigue.
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release