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54V-43126-08760

3 vaccinations 5 coded responses 15 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
482 / MI
Registered
2021-11-01
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-06
    Dose 1 — Moderna
  2. 2021-03-06
    Dose 2 — Moderna
  3. 2021-11-01
    Registered in v-safe
  4. 2021-11-01
    Dose 3 — Moderna
  5. 2021-11-01
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  6. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  7. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  8. 2021-11-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site erythema, Injection site induration, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching
    Free text: It's day 4 and the redness at the injection site has not gone away neither has the swelling and it feels hard. Does this mean that the injection was subcutaneous? If so, was the vaccine absorbed or do I have to get another booster?
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  10. 2021-11-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Unevaluable event — Feeling: Good · Site: Redness, Itching
    Free text: I'm still concerned that this injection was subcutaneous instead of intramuscular. I'm wondering did the vaccine absorb properly or do I need a fourth dose. I would appreciate an answer.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-11-08
    Survey response — day 7, dose 3
    MedDRA: Injection site erythema, Unevaluable event — Feeling: Good · Site: Redness
    Free text: Arm remains red at the injection site. I remain concerned about absorption. No Phine call from the CDC to date.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-11-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-11-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-11-29
    Survey response — day 28, dose 3
    MedDRA: Arthralgia, Injection site discolouration, Injection site pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: The injection site on my right arm remains sore. No swelling or redness but the skin is dark and my shoulder aches
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-12-06
    Survey response — day 35, dose 3
    MedDRA: Injection site pain, Skin discolouration — Feeling: Good
    Free text: Injection site remains sore and the skin has turned dark
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-12-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-01-31
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-05-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-11-01
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-06Moderna No
22021-03-06Moderna No
32021-11-01Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): It's day 4 and the redness at the injection site has not gone away neither has the swelling and it feels hard. Does this mean that the injection was subcutaneous? If so, was the vaccine absorbed or do I have to get another booster?

2021-11-06

Systemic reaction (other): I'm still concerned that this injection was subcutaneous instead of intramuscular. I'm wondering did the vaccine absorb properly or do I need a fourth dose. I would appreciate an answer.

Release 10 — day 7, dose 3

2021-11-08

Systemic reaction (other): Arm remains red at the injection site. I remain concerned about absorption. No Phine call from the CDC to date.

Release 10 — day 28, dose 3

2021-11-29

Symptoms: The injection site on my right arm remains sore. No swelling or redness but the skin is dark and my shoulder aches

Release 10 — day 35, dose 3

2021-12-06

Symptoms: Injection site remains sore and the skin has turned dark

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
SDArthralgia · · ✓
SDInjection site discolouration · · ✓
SDInjection site pain · · ✓
SDSkin discolouration · · ✓
SROInjection site erythema · · ✓
SROInjection site induration · · ✓
SROInjection site swelling · · ✓
SROUnevaluable event · · ✓

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