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55V-60753-00376

2 vaccinations 9 coded responses 10 check-ins 9 free-text entries 0 call cases
Sex
Male
Age at first dose
21-25
ZIP prefix
544 / WI
Registered
2021-03-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Registered in v-safe
  2. 2021-03-25
    Dose 1 — Moderna
  3. 2021-03-25
    Survey response — day 0, dose 1
    MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain
    Free text: Burning pain under arm right before armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Bad armpit pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Axillary pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Armpit pain and pain in the pit of elbow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Axillary pain — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Slight armpit pain and slight pain in elbow pit.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia — Feeling: Fair · Site: Pain
    Free text: Pain in elbow pit/vein area when moving arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Swelling, Vascular pain — Feeling: Fair · Site: Swelling
    Free text: Vein pain and little swollen in elbow pit when extending arm out
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Axillary pain, Chest discomfort — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Persistent pain in armpit and slight pain/tightness in elbow pit near vein
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-01
    Survey response — day 7, dose 1
    MedDRA: Arthralgia, Axillary pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Mild pain under armpit and elbow pit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-22
    Dose 2 — Moderna
  12. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Massive pain near palm of hand under thump on arm shot was give
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-04-22Moderna

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): Burning pain under arm right before armpit

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Bad armpit pain

2021-03-27

Systemic reaction (other): Armpit pain and pain in the pit of elbow

2021-03-28

Systemic reaction (other): Slight armpit pain and slight pain in elbow pit.

2021-03-29

Systemic reaction (other): Pain in elbow pit/vein area when moving arm.

2021-03-30

Systemic reaction (other): Vein pain and little swollen in elbow pit when extending arm out

2021-03-31

Systemic reaction (other): Persistent pain in armpit and slight pain/tightness in elbow pit near vein

Release 6 — day 7, dose 1

2021-04-01

Systemic reaction (other): Mild pain under armpit and elbow pit

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Massive pain near palm of hand under thump on arm shot was give

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
SROArthralgia ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSwelling ✓ ✓ ✓
SROVascular pain ✓ ✓ ✓

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

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