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688-29439-11397

2 vaccinations 5 coded responses 21 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
503 / IA
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Registered in v-safe
  2. 2021-03-10
    Dose 1 — Moderna
  3. 2021-03-10
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Good · Site: Pain
    Free text: A little lightheaded
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-31
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-08
    Dose 2 — Moderna
  12. 2021-04-08
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Axillary pain — Feeling: Good · Site: Pain
    Free text: Pain in armpit/shoulder area of arm-probably more likely do to a possible poor shot technique rather than the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia — Feeling: Good
    Free text: Still sore in shoulder and armpit joint area but getting better
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Medical observation, Wrong technique in product usage process — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Shoulder pain, I saw a nurse for allergy shots and she told me to keep moving my arm and that the pain was mostly likely caused from improper injection technique. Confirmed that it has nothing to do with the vaccine itself · Healthcare visit (other): In person for an allergy shot anyway
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-14
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-04-15
    Survey response — day 7, dose 2
    MedDRA: Arthralgia — Feeling: Good
    Free text: I still have shoulder pain in my right shoulder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-02-21
  26. 2022-04-10
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-08Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-10

Systemic reaction (other): A little lightheaded

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Pain in armpit/shoulder area of arm-probably more likely do to a possible poor shot technique rather than the vaccine

2021-04-13

Systemic reaction (other): Still sore in shoulder and armpit joint area but getting better

2021-04-14

Systemic reaction (other): Shoulder pain, I saw a nurse for allergy shots and she told me to keep moving my arm and that the pain was mostly likely caused from improper injection technique. Confirmed that it has nothing to do with the vaccine itself
Healthcare visit (other): In person for an allergy shot anyway

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): I still have shoulder pain in my right shoulder

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
HCVOMedical observation ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROWrong technique in product usage process ✓ ✓ ✓

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

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