5M7-21172-36043
2 vaccinations
6 coded responses
15 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 953 / CA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
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2020-12-29
Dose 1 — Moderna
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2020-12-29
Health check-in — day 0, dose 1Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tirednessAdult check-in
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2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Medical observation, Pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Pain at injection site is intense like being stabbed in the arm. Pain is constant and worse with flexion or movement. Skin at injection site red, swollen, hot, itchy, and painful. · Healthcare visit (other): FNP at Employee Health at workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Injection site mass, Injection site pain — Feeling: Good · Site: Redness, SwellingFree text: Deep pain if pressure is applied to the injection site and a firm lump that seems to be getting more diffuse as I apply ample pressure and rub in a circular motion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Injection site erythema, Injection site reaction, Injection site swelling — Feeling: Good · Site: RednessFree text: The injection site it still red but the swelling is gone now. The circle looks bigger but a lighter shade of red.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-03
- 2021-01-05
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2021-01-14
Survey response — day 14, dose 1MedDRA: Arthralgia, Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Redness (area of redness larger in diameter -3mm -4 mm approx. after going away for a few days) and itching at the injection site. Soreness in shoulder joint of opposite arm - not previously reported because believed unrelated but ongoing since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
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2021-01-26
Dose 2 — Moderna
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessFree text: Some shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-11
- 2021-03-09
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2021-05-03
Survey response — 3 months, dose 2MedDRA: Pruritus — Feeling: FairFree text: Itchy armpits. I know it sounds odd but there is days where they itch so bad and other days where they dont bother me at all. This started after the second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Pain at injection site is intense like being stabbed in the arm. Pain is constant and worse with flexion or movement. Skin at injection site red, swollen, hot, itchy, and painful.
Healthcare visit (other): FNP at Employee Health at work
Systemic reaction (other): Deep pain if pressure is applied to the injection site and a firm lump that seems to be getting more diffuse as I apply ample pressure and rub in a circular motion.
Systemic reaction (other): The injection site it still red but the swelling is gone now. The circle looks bigger but a lighter shade of red.
Release 2 — day 14, dose 1
Symptoms: Redness (area of redness larger in diameter -3mm -4 mm approx. after going away for a few days) and itching at the injection site. Soreness in shoulder joint of opposite arm - not previously reported because believed unrelated but ongoing since.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Some shortness of breath
Release 8 — 3 months, dose 2
Symptoms: Itchy armpits. I know it sounds odd but there is days where they itch so bad and other days where they dont bother me at all. This started after the second shot.
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 | Medical observation | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release