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
-
2021-03-03
Dose 1 — Moderna
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2021-03-16
Registered in v-safe
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2021-03-16
Survey response — day 7, dose 1MedDRA: Erythema, Pruritus — Feeling: Good · Site: Redness, ItchingFree text: Redness and bumps migrated downward toward the elbow,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-24
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2021-03-31
Dose 2 — Moderna
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2021-03-31
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Still early but did sting when I received the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Good · Site: Swelling, Itching · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: Only the Moderna redness from the first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Joint painsAdult check-in
- 2021-04-05
- 2021-04-06
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2021-04-07
Health check-in — day 7, dose 2Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-14
Survey response — day 14, dose 2MedDRA: Injection site pain — Feeling: GoodFree 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
- 2021-04-21
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2021-04-28
Survey response — day 28, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Slight pain in shoulder where vaccine injected. Initially painful but has eased. Not sure if caused by vaccine or just regular muscle tensionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
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2021-05-12
Survey response — day 42, dose 2MedDRA: Arthralgia, Limb discomfort, Muscle twitching, Paraesthesia — Feeling: GoodFree 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
- 2021-06-30
- 2021-09-29
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2022-03-31
Survey response — 12 months, dose 2MedDRA: Injection site pruritus — Feeling: GoodFree 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 arriveMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna |
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Redness and bumps migrated downward toward the elbow,
Release 6 — day 0, dose 2
Systemic reaction (other): Still early but did sting when I received the shot
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Only the Moderna redness from the first shot.
Release 7 — day 14, dose 2
Symptoms: Shoulder and bicep on arm that received the inoculation is sore.
Release 8 — day 28, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Muscle twitching | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release