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6D3-10105-55213

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
760 / TX
Registered
2021-03-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-17
    Dose 1 — Moderna
  2. 2021-03-22
    Registered in v-safe
  3. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  4. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Headache, Joint pains, Fatigue or tiredness · Be unable to work
    Free text: Above are R/T longstanding RA not from shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-24
    Survey response — day 7, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Fatigue or tiredness, Nausea · Be unable to work
    Free text: Most likely R/T RA not shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-31
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-04-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-16
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-20
    Dose 2 — Moderna
  10. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  11. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site nodule, Injection site pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Hard knot at site of injection area around knot painful
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-04-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling · Headache
    Free text: Other than usual RA symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Fever · None
    Adult check-in
  15. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  16. 2021-04-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-04
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-05-11
    Survey response — day 21, dose 2
    MedDRA: Injection site bruising, Injection site discolouration — Feeling: Good
    Free text: Around the injection site late last week I noticed a brown discoloration like a light bruise in color went fully around the injection site. No pain noted. Had not been there 8 hours or less previous and resolved within 24 hrs area remains scabbed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-18
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Myalgia, Neck pain, Pain — Feeling: Good
    Free text: Lingering muscle type pain in arm (Left) that recieved vaccine in. At times radiates up into shoulder & neck. Has come & gone since injection. Pain is aching throbbing from a 2 to 5 on standard 1-10 pain scale
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-25
    Survey response — day 35, dose 2
    MedDRA: Injection site bruising — Feeling: Fair
    Free text: Sudden non-painful bruising not at or near injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-06-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-04-22
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna
22021-04-20Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Above are R/T longstanding RA not from shot

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): Most likely R/T RA not shot

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Hard knot at site of injection area around knot painful

2021-04-24

Systemic reaction (other): Other than usual RA symptoms

Release 8 — day 21, dose 2

2021-05-11

Symptoms: Around the injection site late last week I noticed a brown discoloration like a light bruise in color went fully around the injection site. No pain noted. Had not been there 8 hours or less previous and resolved within 24 hrs area remains scabbed

Release 8 — day 28, dose 2

2021-05-18

Symptoms: Lingering muscle type pain in arm (Left) that recieved vaccine in. At times radiates up into shoulder & neck. Has come & gone since injection. Pain is aching throbbing from a 2 to 5 on standard 1-10 pain scale

Release 8 — day 35, dose 2

2021-05-25

Symptoms: Sudden non-painful bruising not at or near injection site.

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 bruising ✓ ✓ ✓
SDInjection site discolouration ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SROInjection site nodule ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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