4WV-23790-72368
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 496 / MI
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
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2021-03-22
Dose 1 — Moderna
- 2021-03-22
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2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-03-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Arrhythmia — Feeling: Fair · Site: Redness, Itching · Fatigue or tirednessFree text: Heart arrhythmiasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
- 2021-03-29
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2021-04-05
Survey response — day 14, dose 1MedDRA: Immunisation reaction, Injection site erythema, Injection site pruritus, Injection site swelling, Medical observation, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: On March 32, I woke up with my injection site red, raised and itchy. I saw my PCP and she said it's an immune reaction. It is still itchy and sometimes red and raised. · Healthcare visit (other): PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-12
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2021-04-19
Dose 2 — Moderna
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph node in right armpit area in arm where injection was givenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node in right armpit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-04-26
- 2021-05-03
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2021-05-10
Survey response — day 21, dose 2MedDRA: Lymphadenopathy, Tenderness — Feeling: GoodFree text: Lymph node in right armpit enlarged and tender.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
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2021-05-24
Survey response — day 35, dose 2MedDRA: Lymphadenopathy, Pain, Pain in extremity — Feeling: GoodFree text: Arm where I had second injection is now sore if I move it in a certain way. The lymph node in my armpit that was swollen seems to be migrating or something. It feels like something is pulling on the underside of my arm if I do certain things/lift.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-31
- 2021-06-16
- 2021-07-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Heart arrhythmias
Release 6 — day 14, dose 1
Symptoms: On March 32, I woke up with my injection site red, raised and itchy. I saw my PCP and she said it's an immune reaction. It is still itchy and sometimes red and raised.
Healthcare visit (other): PCP
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph node in right armpit area in arm where injection was given
Systemic reaction (other): Swollen lymph node in right armpit.
Release 8 — day 21, dose 2
Symptoms: Lymph node in right armpit enlarged and tender.
Release 8 — day 35, dose 2
Symptoms: Arm where I had second injection is now sore if I move it in a certain way. The lymph node in my armpit that was swollen seems to be migrating or something. It feels like something is pulling on the underside of my arm if I do certain things/lift. cut off by CDC
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 | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Medical observation | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Arrhythmia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release