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549-15833-13384

2 vaccinations 9 coded responses 15 check-ins 9 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
481 / MI
Registered
2021-03-22
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-20
    Dose 1 — Moderna
  2. 2021-03-22
    Registered in v-safe
  3. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Injection site pain, Injection site swelling — Feeling: Fair · Site: Pain, Swelling · Headache · Be unable to do your normal daily activities
    Free text: Had headache and pain injection site 45 minutes after injection on 3/20/21. Pain at injection site an headache morning of 3/21/21. Pain and swelling at injection site on headache 3/22/21
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache
    Adult check-in
  6. 2021-03-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oedema peripheral — Feeling: Good · Headache
    Free text: Swelling under arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-27
    Survey response — day 7, dose 1
    MedDRA: Oedema peripheral — Feeling: Good · Site: Swelling
    Free text: Swelling under arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-17
    Dose 2 — Moderna
  11. 2021-04-25
    Survey response — day 7, dose 2
    MedDRA: Immunisation reaction — Feeling: Fair · Site: Redness, Swelling, Itching · Headache · Be unable to do your normal daily activities
    Free text: COVID arm around injection site a below and above. Larger area then I thought it would be. Started 4/24/21.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-01
    Survey response — day 14, dose 2
    MedDRA: Axillary pain, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headache still sometimes feels worse. Under arm still sore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-09
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-05-17
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-05-23
    Survey response — day 35, dose 2
    MedDRA: Headache, Nodule — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Still having headaches some days the headaches fills worse. I have found knots on my head/skull.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-01
    Survey response — day 42, dose 2
    MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-10-19
    Survey response — 6 months, dose 2
    MedDRA: Pain, Skin irritation, Ulcer — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Skin irritation sores and spin pain
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-04-20
    Survey response — 12 months, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Unable to describe on this format.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-04-20
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  20. 2022-04-26

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Moderna
22021-04-17Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Had headache and pain injection site 45 minutes after injection on 3/20/21. Pain at injection site an headache morning of 3/21/21. Pain and swelling at injection site on headache 3/22/21

2021-03-26

Systemic reaction (other): Swelling under arm

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): Swelling under arm

Release 7 — day 7, dose 2

2021-04-25

Systemic reaction (other): COVID arm around injection site a below and above. Larger area then I thought it would be. Started 4/24/21.

Release 8 — day 14, dose 2

2021-05-01

Symptoms: Headache still sometimes feels worse. Under arm still sore.

Release 8 — day 35, dose 2

2021-05-23

Symptoms: Still having headaches some days the headaches fills worse. I have found knots on my head/skull.

Release 8 — day 42, dose 2

2021-06-01

Symptoms: Headache

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Skin irritation sores and spin pain

Release 11 — 12 months, dose 2

2022-04-20

Symptoms: Unable to describe on this format.

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
SDAxillary pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNodule ✓ ✓ ✓
SDPain · · ✓
SDSkin irritation · · ✓
SDUlcer · · ✓
SDUnevaluable event · · ✓
SROHeadache ✓ ✓ ✓
SROImmunisation reaction ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓

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