5HN-24762-35312
2 vaccinations
5 coded responses
15 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 130 / NY
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-11
Dose 1 — Moderna
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2021-03-28
Registered in v-safe
- 2021-03-28
- 2021-04-01
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2021-04-06
Dose 2 — Moderna
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Injection site induration, Injection site reaction, Nodule — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tirednessFree text: Have a hard painful knot about 4 inches below injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · Site: ItchingFree text: Unusual headache when I went to bed last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — day 7, dose 2MedDRA: Dry skin — Feeling: Good · Site: ItchingFree text: Rough patch of skin the size of a quarter 2 below injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 14, dose 2MedDRA: Asthenia, Mobility decreased, Pain in extremity, Peripheral swelling, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: Woke up at 3:00 am on 4/17 with pain and swelling in right hand and wrist. Couldnt make a fist, hold anything or use hand in any fashion. Iced it with Tylenol all of 4/17 and bought a wrist brace. 4/18-swelling and pain reduced 1/2-cont w/ice, braMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — day 21, dose 2MedDRA: Arthralgia, Joint swelling, Office visit, Pain in extremity, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Sudden onset of pain, swelling, stiffness in right wrist and hand on 4/17/21. Followed by left thumb swelling & pain. 4/26-left knee pain. · Healthcare visit (other): Office visit with primary careMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-10-07
- 2022-04-08
- 2022-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Have a hard painful knot about 4 inches below injection site.
Systemic reaction (other): Unusual headache when I went to bed last night.
Release 7 — day 7, dose 2
Systemic reaction (other): Rough patch of skin the size of a quarter 2 below injection site
Release 7 — day 14, dose 2
Symptoms: Woke up at 3:00 am on 4/17 with pain and swelling in right hand and wrist. Couldnt make a fist, hold anything or use hand in any fashion. Iced it with Tylenol all of 4/17 and bought a wrist brace. 4/18-swelling and pain reduced 1/2-cont w/ice, bra
Release 8 — day 21, dose 2
Symptoms: Sudden onset of pain, swelling, stiffness in right wrist and hand on 4/17/21. Followed by left thumb swelling & pain. 4/26-left knee pain.
Healthcare visit (other): Office visit with primary care
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Dry skin | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site induration | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Nodule | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release