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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

  1. 2021-05-07
    Dose 1 — Moderna
  2. 2021-06-04
    Dose 2 — Moderna
  3. 2021-06-05
    Registered in v-safe
  4. 2021-06-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-06-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-06-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain · Diarrhea
    Free 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
  7. 2021-06-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Good
    Free 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
  8. 2021-06-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-06-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-06-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-06-18
    Survey response — day 14, dose 2
    MedDRA: Nerve compression, Paraesthesia — Feeling: Good
    Free 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
  12. 2021-06-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-07-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-07-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-09-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-12-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-06-04
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-07Moderna
22021-06-04Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-06-07

Systemic reaction (other): Mild pain and a little swelling in the armpit under the arm where I received the shot.

2021-06-08

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

2021-06-18

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

FieldPreferred term2021-092023-042024-11
SDNerve compression ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓

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