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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

  1. 2021-03-11
    Dose 1 — Moderna
  2. 2021-03-28
    Registered in v-safe
  3. 2021-03-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-06
    Dose 2 — Moderna
  6. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site induration, Injection site reaction, Nodule — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness
    Free 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
  7. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  9. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in
  10. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Good · Site: Itching
    Free text: Unusual headache when I went to bed last night.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-13
    Survey response — day 7, dose 2
    MedDRA: Dry skin — Feeling: Good · Site: Itching
    Free text: Rough patch of skin the size of a quarter 2 below injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-21
    Survey response — day 14, dose 2
    MedDRA: Asthenia, Mobility decreased, Pain in extremity, Peripheral swelling, Self-medication — Feeling: Good · Be unable to do your normal daily activities
    Free 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, bra
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-27
    Survey response — day 21, dose 2
    MedDRA: 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 professional
    Free 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 care
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-27
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-05-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-04-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-04-08

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-06Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Have a hard painful knot about 4 inches below injection site.

2021-04-12

Systemic reaction (other): Unusual headache when I went to bed last night.

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): Rough patch of skin the size of a quarter 2 below injection site

Release 7 — day 14, dose 2

2021-04-21

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

2021-04-27

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDJoint swelling ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SRODry skin ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site induration ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓
SRONodule ✓ ✓ ✓

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