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4PT-96454-76960

2 vaccinations 2 coded responses 19 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
420 / KY
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-02-02
    Registered in v-safe
  3. 2021-02-02
    Survey response — day 7, dose 1
    MedDRA: Injected limb mobility decreased, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches · Be unable to do your normal daily activities
    Free text: The rash and sweeping around the site did not appear until Sat 1/30. I had no side effects until 9 days AFTER the vaccine. On Sat, site became itchy, and hot and swollen. Pain began in my arm which was hard to move.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-05
    Survey response — day 14, dose 1
    MedDRA: Rash — Feeling: Good
    Free text: My arm rash got worse and spread in size this past week. It first started out golf ball size and continued to grow until it covered from shoulder to elbow. Th area was hot and harder than normal skin, and stated that way for 7 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-19
    Dose 2 — Moderna
  7. 2021-02-19
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  10. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · Headache, Nausea
    Adult check-in
  11. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  13. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-28
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-02-21
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-19Moderna

Free text

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): The rash and sweeping around the site did not appear until Sat 1/30. I had no side effects until 9 days AFTER the vaccine. On Sat, site became itchy, and hot and swollen. Pain began in my arm which was hard to move.

Release 3 — day 14, dose 1

2021-02-05

Symptoms: My arm rash got worse and spread in size this past week. It first started out golf ball size and continued to grow until it covered from shoulder to elbow. Th area was hot and harder than normal skin, and stated that way for 7 days.

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
SDRash ✓ ✓ ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓

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