626-61467-00579
1 vaccination
3 coded responses
5 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 954 / CA
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-03-06
Registered in v-safe
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Slight headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: Good · Joint painsFree text: Hip pain right sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — day 7, dose 1MedDRA: Immunisation reaction, Injection site erythema, Injection site pruritus, Injection site swelling, Pain in extremity, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I think Im experiencing Covid arm. Its over a week since my first shot. Had itchy upper arm last night. This morning I noticed my upper left arm was sore, when I looked at my upper left arm near injection site, I noticed redness, slight swelling and some residual itchiness. Wanted to report this. Thanks · Healthcare visit (other): I went online and looked up what I was experiencing. I found an article explaining Covid armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-17
- 2021-12-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Slight headache
Systemic reaction (other): Hip pain right side
Release 5 — day 7, dose 1
Systemic reaction (other): I think Im experiencing Covid arm. Its over a week since my first shot. Had itchy upper arm last night. This morning I noticed my upper left arm was sore, when I looked at my upper left arm near injection site, I noticed redness, slight swelling and some residual itchiness. Wanted to report this. Thanks
Healthcare visit (other): I went online and looked up what I was experiencing. I found an article explaining Covid arm
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 |
|---|---|---|---|---|
| HCVO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ○ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release