6A4-15994-51962
2 vaccinations
9 coded responses
25 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 209 / MD
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
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2021-03-20
Dose 1 — Moderna
- 2021-03-20
- 2021-03-21
- 2021-03-22
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2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Breast pain — Feeling: GoodFree text: Pain in armpit/side of breast past 2 days, NOT on same side as inhectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: Fair · Headache, NauseaFree text: Pain in right armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-27
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2021-04-03
Survey response — day 14, dose 1MedDRA: Arthralgia, Paraesthesia oral, Stomatitis — Feeling: GoodFree text: Two things: off & on joint (mostly hips) pain. And a strange tongue tingling and raw feeling on roof of my mouth on about Days 8-9.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
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2021-04-17
Dose 2 — Moderna
- 2021-04-17
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain — Feeling: Good · Site: Pain · Chills, HeadacheFree text: Pain on outer side of left breast (injection side)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain — Feeling: Good · Site: Pain · HeadacheFree text: Pain on outside of left breast, near underarmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Tenderness — Feeling: GoodFree text: Menstrual spotting (irregular for me, out of cycle), tender underarm on injection sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: GoodFree text: Pain in left armpit on arm that received shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Sleep disorder — Feeling: GoodFree text: Still having sharp pain in left armpit (injection side). Pain string enough to wake me during the night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — day 7, dose 2MedDRA: Axillary pain — Feeling: GoodFree text: Still having injection side underarm painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-07-17
- 2021-10-16
- 2022-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Pain in armpit/side of breast past 2 days, NOT on same side as inhection
Systemic reaction (other): Pain in right armpit
Release 6 — day 14, dose 1
Symptoms: Two things: off & on joint (mostly hips) pain. And a strange tongue tingling and raw feeling on roof of my mouth on about Days 8-9.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Pain on outer side of left breast (injection side)
Systemic reaction (other): Pain on outside of left breast, near underarm
Systemic reaction (other): Menstrual spotting (irregular for me, out of cycle), tender underarm on injection side
Systemic reaction (other): Pain in left armpit on arm that received shot.
Systemic reaction (other): Still having sharp pain in left armpit (injection side). Pain string enough to wake me during the night.
Release 7 — day 7, dose 2
Systemic reaction (other): Still having injection side underarm pain
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 | Paraesthesia oral | ✓ | ✓ | ✓ |
| SD | Stomatitis | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release