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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

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tiredness
    Adult check-in
  4. 2020-12-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 professional
    Free 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 work
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-30
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  7. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site mass, Injection site pain — Feeling: Good · Site: Redness, Swelling
    Free 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
  8. 2021-01-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site erythema, Injection site reaction, Injection site swelling — Feeling: Good · Site: Redness
    Free 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
  9. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  10. 2021-01-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-14
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Injection site erythema, Injection site pruritus — Feeling: Good
    Free 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
  12. 2021-01-21
  13. 2021-01-26
    Dose 2 — Moderna
  14. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  15. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  16. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Free text: Some shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-03
    Survey response — 3 months, dose 2
    MedDRA: Pruritus — Feeling: Fair
    Free 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

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-26Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

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

2021-01-01

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.

2021-01-02

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

2021-01-14

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

2021-02-01

Systemic reaction (other): Some shortness of breath

Release 8 — 3 months, dose 2

2021-05-03

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

FieldPreferred term2021-092023-042024-11
HCVOMedical observation ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site mass ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROPain ✓ ✓ ✓

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