4RV-43480-68000
1 vaccination
4 coded responses
5 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 864 / AZ
- Registered
- 2021-08-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-28
Dose 1 — Moderna
-
2021-08-21
Registered in v-safe
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2021-08-21
Survey response — day 21, dose 1MedDRA: Contusion, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: On my forearms I have blood like bruising. · Healthcare visit (other): I went to Cardiologist and he ordered a lot of bloodwork.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-21
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-25
Survey response — day 28, dose 1MedDRA: Office visit, Peripheral venous disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Blood has pooled on back of both arms. I waiting on my bloodwork to come back to decide if I will get second shot. · Healthcare visit (other): When doctor show my arms he sent me to hospital to get bloodworkMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-27
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2021-09-01
Survey response — day 35, dose 1MedDRA: Arthralgia, Bone pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My bones and joints hurtMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-27
Survey response — 3 months, dose 1MedDRA: Haematoma, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Blood is still pooling on the back of my forearms. No one can tell me what is happening to my body. I know I can't be the only one this has happened to. Please let me know your findings. · Healthcare visit (other): I am going to Drs trying to find answersMedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-10-28
- 2022-07-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-28 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 9 — day 21, dose 1
Symptoms: On my forearms I have blood like bruising.
Healthcare visit (other): I went to Cardiologist and he ordered a lot of bloodwork.
Release 9 — day 28, dose 1
Symptoms: Blood has pooled on back of both arms. I waiting on my bloodwork to come back to decide if I will get second shot.
Healthcare visit (other): When doctor show my arms he sent me to hospital to get bloodwork
Release 9 — day 35, dose 1
Symptoms: My bones and joints hurt
Release 10 — 3 months, dose 1
Symptoms: Blood is still pooling on the back of my forearms. No one can tell me what is happening to my body. I know I can't be the only one this has happened to. Please let me know your findings.
Healthcare visit (other): I am going to Drs trying to find answers
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 | Office visit | ✓ | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Bone pain | ✓ | · | ✓ |
| SD | Contusion | ✓ | · | ✓ |
| SD | Haematoma | · | · | ✓ |
| SD | Peripheral venous disease | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release