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5VK-17055-67830

2 vaccinations 4 coded responses 11 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
970 / OR
Registered
2021-05-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-16
    Dose 1 — Moderna
  2. 2021-05-04
    Registered in v-safe
  3. 2021-05-04
    Survey response — day 14, dose 1
    MedDRA: Erythema, Feeling hot, Muscle twitching — Feeling: Good
    Free text: 2 weeks after injection I developed a red spot near the injection. The red spot is appx 2 wide and 1 1/2 at the highest point. It feels warm and the muscle in the arm is twitchy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-05-14
    Dose 2 — Moderna
  6. 2021-05-14
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-05-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site pain, Injection site warmth — Feeling: Good
    Free text: I developed a red area appx 5" by 2" which is appx 1.5" lower of the injection site. The red area is warm and sore to the touch.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Good
    Free text: I still have the red patch. Not as sore or warm when touched. It is a bit smaller today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema — Feeling: Good
    Free text: Red area on arm is fading.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-06-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-08-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-16Moderna
22021-05-14Moderna

Free text

Release 8 — day 14, dose 1

2021-05-04

Symptoms: 2 weeks after injection I developed a red spot near the injection. The red spot is appx 2 wide and 1 1/2 at the highest point. It feels warm and the muscle in the arm is twitchy.

Release 8 — days 1–6 daily, dose 2

2021-05-17

Systemic reaction (other): I developed a red area appx 5" by 2" which is appx 1.5" lower of the injection site. The red area is warm and sore to the touch.

2021-05-18

Systemic reaction (other): I still have the red patch. Not as sore or warm when touched. It is a bit smaller today.

2021-05-19

Systemic reaction (other): Red area on arm is fading.

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
SDErythema ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDMuscle twitching ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SRORash ✓ ✓ ✓

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