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
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2021-03-20
Dose 1 — Moderna
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2021-03-22
Registered in v-safe
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Injection site pain, Injection site swelling — Feeling: Fair · Site: Pain, Swelling · Headache · Be unable to do your normal daily activitiesFree 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 3/22/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-25
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Oedema peripheral — Feeling: Good · HeadacheFree text: Swelling under armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — day 7, dose 1MedDRA: Oedema peripheral — Feeling: Good · Site: SwellingFree text: Swelling under armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-10
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2021-04-17
Dose 2 — Moderna
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2021-04-25
Survey response — day 7, dose 2MedDRA: Immunisation reaction — Feeling: Fair · Site: Redness, Swelling, Itching · Headache · Be unable to do your normal daily activitiesFree 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
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2021-05-01
Survey response — day 14, dose 2MedDRA: Axillary pain, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache still sometimes feels worse. Under arm still sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-17
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2021-05-23
Survey response — day 35, dose 2MedDRA: Headache, Nodule — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2021-06-01
Survey response — day 42, dose 2MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-19
Survey response — 6 months, dose 2MedDRA: Pain, Skin irritation, Ulcer — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Skin irritation sores and spin painMedDRA releases: 2024-11 · check-in free text available
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2022-04-20
Survey response — 12 months, dose 2MedDRA: 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 visitFree text: Unable to describe on this format.MedDRA releases: 2024-11 · check-in free text available
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2022-04-20
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
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
Systemic reaction (other): Swelling under arm
Release 6 — day 7, dose 1
Systemic reaction (other): Swelling under arm
Release 7 — day 7, dose 2
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
Symptoms: Headache still sometimes feels worse. Under arm still sore.
Release 8 — day 35, dose 2
Symptoms: Still having headaches some days the headaches fills worse. I have found knots on my head/skull.
Release 8 — day 42, dose 2
Symptoms: Headache
Release 10 — 6 months, dose 2
Symptoms: Skin irritation sores and spin pain
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nodule | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Skin irritation | · | · | ✓ |
| SD | Ulcer | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release