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5XH-26692-71790

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
172 / PA
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-03-16
    Registered in v-safe
  3. 2021-03-16
    Survey response — day 7, dose 1
    MedDRA: Erythema, Pruritus — Feeling: Good · Site: Redness, Itching
    Free text: Redness and bumps migrated downward toward the elbow,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-31
    Dose 2 — Moderna
  7. 2021-03-31
    Survey response — day 0, dose 2
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Still early but did sting when I received the shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches
    Adult check-in
  9. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  10. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema — Feeling: Good · Site: Swelling, Itching · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site
    Free text: Only the Moderna redness from the first shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · Joint pains
    Adult check-in
  12. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  13. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  14. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  15. 2021-04-14
    Survey response — day 14, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Shoulder and bicep on arm that received the inoculation is sore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-28
    Survey response — day 28, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Slight pain in shoulder where vaccine injected. Initially painful but has eased. Not sure if caused by vaccine or just regular muscle tension
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-12
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Limb discomfort, Muscle twitching, Paraesthesia — Feeling: Good
    Free text: Left arm where vaccine received feels like bubbling with nerve twitching. Pins and needles down to hand and elbow joint has minor ache in joint. May be circulation issue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-06-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-03-31
    Survey response — 12 months, dose 2
    MedDRA: Injection site pruritus — Feeling: Good
    Free text: Just the arm where injected itches near the inside joint of the elbow. Not sure if it is injection related. Ordered free COVID tests, I hope to test whenever they arrive
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-31Moderna

Free text

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): Redness and bumps migrated downward toward the elbow,

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): Still early but did sting when I received the shot

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Only the Moderna redness from the first shot.

Release 7 — day 14, dose 2

2021-04-14

Symptoms: Shoulder and bicep on arm that received the inoculation is sore.

Release 8 — day 28, dose 2

2021-04-28

Symptoms: Slight pain in shoulder where vaccine injected. Initially painful but has eased. Not sure if caused by vaccine or just regular muscle tension

Release 8 — day 42, dose 2

2021-05-12

Symptoms: Left arm where vaccine received feels like bubbling with nerve twitching. Pins and needles down to hand and elbow joint has minor ache in joint. May be circulation issue.

Release 11 — 12 months, dose 2

2022-03-31

Symptoms: Just the arm where injected itches near the inside joint of the elbow. Not sure if it is injection related. Ordered free COVID tests, I hope to test whenever they arrive

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
SDArthralgia ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus · · ✓
SDLimb discomfort ✓ ✓ ✓
SDMuscle twitching ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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