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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

  1. 2021-07-28
    Dose 1 — Moderna
  2. 2021-08-21
    Registered in v-safe
  3. 2021-08-21
    Survey response — day 21, dose 1
    MedDRA: Contusion, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free 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
  4. 2021-08-21
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-08-25
    Survey response — day 28, dose 1
    MedDRA: Office visit, Peripheral venous disease — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free 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 bloodwork
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-08-25
    Report sent to call center — day 28, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-08-27
  8. 2021-09-01
    Survey response — day 35, dose 1
    MedDRA: Arthralgia, Bone pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: My bones and joints hurt
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-10-27
    Survey response — 3 months, dose 1
    MedDRA: Haematoma, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free 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 answers
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-10-27
    Report sent to call center — 3 months, dose 1
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  11. 2021-10-28
  12. 2022-07-31
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-28Moderna No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 9 — day 21, dose 1

2021-08-21

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

2021-08-25

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

2021-09-01

Symptoms: My bones and joints hurt

Release 10 — 3 months, dose 1

2021-10-27

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
HCVOUnevaluable event · · ✓
SDArthralgia ✓ · ✓
SDBone pain ✓ · ✓
SDContusion ✓ · ✓
SDHaematoma · · ✓
SDPeripheral venous disease ✓ · ✓

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