4XC-87935-22033
2 vaccinations
6 coded responses
26 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 720 / AR
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
-
2021-02-17
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Pyrexia, Tenderness — Feeling: GoodFree text: On day 8 the injection site became very itchy, red, swollen, feverish, and sore. My underarm was also very tender. This only lasted a couple of daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
-
2021-03-03
Dose 2 — Moderna
- 2021-03-03
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Large swollen area under arm thats very soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral, Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Swollen under my armpit and super sore all the way up the inside of my arm to my elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Axillary pain, Oedema peripheral, Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Swollen under arm and sore from below armpit up to elbow on the inside of my armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Peripheral swelling — Feeling: Good · Site: Pain, Redness, ItchingFree text: Still swollen and sore under my arm pit up to my elbow on the inside of my armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
- 2021-09-01
-
2022-03-03
Survey response — 12 months, dose 2MedDRA: Diarrhoea, Discharge, Fatigue, Oropharyngeal pain, Pain, SARS-CoV-2 test positive, Sinus congestion — Feeling: Good · Be unable to work or attend schoolFree text: Sore throat, sinus congestion, pain, and drainage, fatigue for about a week and diarrhea for a couple of days - tested positive for Covid on a home testMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna |
Free text
Release 4 — day 14, dose 1
Symptoms: On day 8 the injection site became very itchy, red, swollen, feverish, and sore. My underarm was also very tender. This only lasted a couple of days
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Large swollen area under arm thats very sore
Systemic reaction (other): Swollen under my armpit and super sore all the way up the inside of my arm to my elbow
Systemic reaction (other): Swollen under arm and sore from below armpit up to elbow on the inside of my arm
Systemic reaction (other): Still swollen and sore under my arm pit up to my elbow on the inside of my arm
Release 11 — 12 months, dose 2
Symptoms: Sore throat, sinus congestion, pain, and drainage, fatigue for about a week and diarrhea for a couple of days - tested positive for Covid on a home test
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 |
|---|---|---|---|---|
| SD | Diarrhoea | · | · | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release