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4SB-18922-34481

2 vaccinations 7 coded responses 7 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
440 / OH
Registered
2021-05-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-07
    Dose 1 — Moderna
  2. 2021-05-07
    Dose 2 — Moderna
  3. 2021-05-09
    Registered in v-safe
  4. 2021-05-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain · Fever · Chills, Headache
    Free text: Swelling in left armpit.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Breast swelling, Oedema peripheral — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work
    Free text: Pain and Swelling in left armpit. Left breast a little swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Fair · Fatigue or tiredness
    Free text: Swelling in left armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Axillary pain, Breast pain, Groin pain, Medical counselling, Oedema peripheral, Office visit, Paraesthesia, Pharyngeal swelling — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Sore swollen left armpit and breast, pain in groin area, tingling in fingers and toes. My throat had swelled a little on Sunday and Monday, but that seems to have subsided. · Healthcare visit (other): Visited the sports chiropractor for the pain in my hip (I didnt realize the symptoms were related to the Moderna Vaccine.) I called and reported all the symptoms to my primary care physician today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-12
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-05-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Gland is still swollen in armpit, but less swelling today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-14
    Survey response — day 7, dose 2
    MedDRA: Coccydynia, Groin pain, Lymphadenopathy, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Tingling in left shoulder, pain in left groin and sit bone area, swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-08-09
    Survey response — 3 months, dose 2
    MedDRA: Headache, Nasopharyngitis, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Fever, cold like symptoms, headache
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2022-04-18

Vaccinations

DoseDateManufacturerCo-administered
12021-04-07Moderna
22021-05-07Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-09

Systemic reaction (other): Swelling in left armpit.

2021-05-10

Systemic reaction (other): Pain and Swelling in left armpit. Left breast a little swollen

2021-05-11

Systemic reaction (other): Swelling in left armpit

2021-05-12

Systemic reaction (other): Sore swollen left armpit and breast, pain in groin area, tingling in fingers and toes. My throat had swelled a little on Sunday and Monday, but that seems to have subsided.
Healthcare visit (other): Visited the sports chiropractor for the pain in my hip (I didnt realize the symptoms were related to the Moderna Vaccine.) I called and reported all the symptoms to my primary care physician today.

2021-05-13

Systemic reaction (other): Gland is still swollen in armpit, but less swelling today

Release 8 — day 7, dose 2

2021-05-14

Systemic reaction (other): Tingling in left shoulder, pain in left groin and sit bone area, swollen lymph nodes

Release 9 — 3 months, dose 2

2021-08-09

Symptoms: Fever, cold like symptoms, headache

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
HCVOArthralgia ✓ ✓ ✓
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDHeadache ✓ · ✓
SDNasopharyngitis ✓ · ✓
SDPyrexia ✓ · ✓
SROAxillary pain ✓ ✓ ✓
SROBreast pain ✓ ✓ ✓
SROBreast swelling ✓ ✓ ✓
SROCoccydynia ✓ ✓ ✓
SROGroin pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPharyngeal swelling ✓ ✓ ✓

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

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