5XG-12135-12723
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 983 / WA
- Registered
- 2021-06-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-07
Dose 1 — Moderna
-
2021-06-04
Dose 2 — Moderna
-
2021-06-05
Registered in v-safe
-
2021-06-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-06-06
-
2021-06-07
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain · DiarrheaFree text: Mild pain and a little swelling in the armpit under the arm where I received the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-08
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Oedema peripheral — Feeling: GoodFree text: A little swelling and pain when pushing on my armpit under the arm where I got the injection but much less than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
- 2021-06-10
- 2021-06-11
-
2021-06-18
Survey response — day 14, dose 2MedDRA: Nerve compression, Paraesthesia — Feeling: GoodFree text: Honestly I'm not sure if there is any connection but I have developed symptoms of Unlar Nerve Entrapment. Constant pins & needles in my right pinky/ring finger (opposite arm of the vaccine). May not be connected but feel I should mention it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-27
- 2021-07-02
- 2021-07-09
- 2021-07-16
- 2021-09-03
- 2021-12-03
- 2022-06-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-07 | Moderna | |
| 2 | 2021-06-04 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Mild pain and a little swelling in the armpit under the arm where I received the shot.
Systemic reaction (other): A little swelling and pain when pushing on my armpit under the arm where I got the injection but much less than yesterday.
Release 9 — day 14, dose 2
Symptoms: Honestly I'm not sure if there is any connection but I have developed symptoms of Unlar Nerve Entrapment. Constant pins & needles in my right pinky/ring finger (opposite arm of the vaccine). May not be connected but feel I should mention it.
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 |
|---|---|---|---|---|
| SD | Nerve compression | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release