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5BZ-35717-00813

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
980 / WA
Registered
2021-03-22
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-22
    Registered in v-safe
  2. 2021-03-22
    Dose 1 — Moderna
  3. 2021-03-22
    Survey response — day 0, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: My arm is just a bit sore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free text: Still just soreness in the arm where the shot was administered.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: A little soreness in my arm but better than yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-05
    Survey response — day 14, dose 1
    MedDRA: Pruritus, Swelling — Feeling: Good
    Free text: My shoulder got swollen 1 week after my Covid vaccination and was itchy. Those symptoms lasted about 5 days and now Im back to normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-19
    Dose 2 — Moderna
  14. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Pain, Pain in extremity — Feeling: Good · Site: Pain
    Free text: After getting the second dose on Monday, 4/19 by the evening my arm was very sore, my whole body ached and I had the chills. Most symptoms were gone by Tuesday evening with the exception of a mild sore arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Moderna
22021-04-19Moderna

Free text

Release 6 — day 0, dose 1

2021-03-22

Systemic reaction (other): My arm is just a bit sore.

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Still just soreness in the arm where the shot was administered.

2021-03-24

Systemic reaction (other): A little soreness in my arm but better than yesterday

Release 6 — day 14, dose 1

2021-04-05

Symptoms: My shoulder got swollen 1 week after my Covid vaccination and was itchy. Those symptoms lasted about 5 days and now Im back to normal.

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): After getting the second dose on Monday, 4/19 by the evening my arm was very sore, my whole body ached and I had the chills. Most symptoms were gone by Tuesday evening with the exception of a mild sore arm.

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
SDPruritus ✓ ✓ ✓
SDSwelling ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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