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4QU-31218-65680

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
113 / NY
Registered
2021-02-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-27
    Registered in v-safe
  2. 2021-02-27
    Dose 1 — Moderna
  3. 2021-02-27
    Survey response — day 0, dose 1
    MedDRA: Vaccination site bruising — Feeling: Good · Site: Pain, Swelling
    Free text: Vaccine site showed a bruise color (black & blue) instantly. Was small in diameter initially. Now (11 hours later) its a larger 2 oval.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blister, Injection site bruising — Feeling: Good · Site: Pain, Swelling
    Free text: Black and blue area around injection site still there, but no larger than last night. Have some small blisters on fingers of right hand, but unclear if thats a reaction to the vaccine or to nickel (or other metals) in my coin change.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising, Swelling — Feeling: Good · Site: Swelling
    Free text: Swelling has decreased. Black and blue bruise at injection site is the same size.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Contusion, Swelling — Feeling: Good · Site: Swelling
    Free text: Swelling almost gone (down to a faint lump). Black and blue (2 diameter oval) remains, darkish purple.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Contusion, Swelling — Feeling: Good · Site: Swelling
    Free text: Same as yesterday: swelling now a small bump. 2 diameter purplish bruise lingers.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Contusion, Nodule, Swelling — Feeling: Good · Site: Swelling
    Free text: Same as yesterday: swelling reduced to a smaller knot, black & blue bruise remains.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Swelling
    Free text: Same as yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-06
    Survey response — day 7, dose 1
    MedDRA: Impaired healing, Injection site bruising, Injection site discolouration, Vaccination site bruising — Feeling: Good
    Free text: 2 bruise at vaccine site changing from purple to maroon and yellow. Healing, but VERY slowly.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-23
    Dose 2 — Moderna
  14. 2021-03-23
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-27Moderna
22021-03-23Moderna

Free text

Release 4 — day 0, dose 1

2021-02-27

Systemic reaction (other): Vaccine site showed a bruise color (black & blue) instantly. Was small in diameter initially. Now (11 hours later) its a larger 2 oval.

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Black and blue area around injection site still there, but no larger than last night. Have some small blisters on fingers of right hand, but unclear if thats a reaction to the vaccine or to nickel (or other metals) in my coin change.

2021-03-01

Systemic reaction (other): Swelling has decreased. Black and blue bruise at injection site is the same size.

2021-03-02

Systemic reaction (other): Swelling almost gone (down to a faint lump). Black and blue (2 diameter oval) remains, darkish purple.

2021-03-03

Systemic reaction (other): Same as yesterday: swelling now a small bump. 2 diameter purplish bruise lingers.

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Same as yesterday: swelling reduced to a smaller knot, black & blue bruise remains.

2021-03-05

Systemic reaction (other): Same as yesterday.

Release 5 — day 7, dose 1

2021-03-06

Systemic reaction (other): 2 bruise at vaccine site changing from purple to maroon and yellow. Healing, but VERY slowly.

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
SROBlister ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SROImpaired healing · · ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site discolouration ✓ ✓ ○
SRONodule ✓ ✓ ✓
SROSwelling ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROVaccination site bruising ✓ ✓ ✓

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