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6HG-22396-38935

4 vaccinations 11 coded responses 39 check-ins 11 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
124 / NY
Registered
2021-03-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-05
    Dose 1 — Moderna
  2. 2021-03-06
    Registered in v-safe
  3. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Burning sensation, Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Tingling and burning sensation in entire arm of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia, Hypoaesthesia, Injection site hypoaesthesia, Injection site muscle atrophy, Injection site pain, Muscle atrophy, Muscular weakness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Entire left arm injection arm muscles feel atrophy, weak and intermittent numbness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-19
    Survey response — day 14, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Swollen and tender lymph node in arm pit breast area of injection arm. Started 1 week after shot and lasted about 1 week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-02
    Dose 2 — Moderna
  13. 2021-04-02
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  14. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Be unable to do your normal daily activities
    Free text: Swollen and sore lymph node near injection site, entire injection arm has pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Free text: Swollen painful lymph node in injection arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling
    Free text: Pain and swelling of lymph nodes at injection area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling
    Free text: Swelling and pain in lymph node under injection arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling, Itching
    Free text: Lymph node under injection arm sore and swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  20. 2021-04-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-26
    Dose 3 — Moderna
  29. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  30. 2021-10-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain — Feeling: Good · Site: Pain
    Free text: Tenderness in arm pit lymph node area of injection arm.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Tenderness — Feeling: Good
    Free text: Tenderness in arm pit of injection arm
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-02
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-09
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-16
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-23
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-30
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-04-26
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-09-09
    Dose 4 — Moderna
  42. 2022-10-21
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-12-10
    Survey response — 3 months, dose 4
    MedDRA: Cholecystectomy, Post-acute COVID-19 syndrome, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization
    Free text: Gallbladder removal surgery, COVID positive, long COVID issues
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-12-10
    Report sent to call center — 3 months, dose 4
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  45. 2022-12-14
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  46. 2023-03-10
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna
22021-04-02Moderna
32021-10-26Moderna No
42022-09-09Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Tingling and burning sensation in entire arm of injection

2021-03-07

Systemic reaction (other): Entire left arm injection arm muscles feel atrophy, weak and intermittent numbness

Release 5 — day 14, dose 1

2021-03-19

Symptoms: Swollen and tender lymph node in arm pit breast area of injection arm. Started 1 week after shot and lasted about 1 week.

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Swollen and sore lymph node near injection site, entire injection arm has pain

2021-04-04

Systemic reaction (other): Swollen painful lymph node in injection arm

2021-04-05

Systemic reaction (other): Pain and swelling of lymph nodes at injection area

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Swelling and pain in lymph node under injection arm

2021-04-07

Systemic reaction (other): Lymph node under injection arm sore and swollen

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Tenderness in arm pit lymph node area of injection arm.

2021-10-31

Systemic reaction (other): Tenderness in arm pit of injection arm

Release 12 — 3 months, dose 4

2022-12-10

Symptoms: Gallbladder removal surgery, COVID positive, long COVID issues

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
SDCholecystectomy · · ✓
SDLymph node pain ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDPost-acute COVID-19 syndrome · · ✓
SDPre-existing disease · · ✓
SROAsthenia ✓ ✓ ○
SROAxillary pain ✓ ✓ ✓
SROBurning sensation ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ○
SROInjection site hypoaesthesia · · ✓
SROInjection site muscle atrophy · · ✓
SROInjection site pain ✓ ✓ ○
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMuscle atrophy · · ✓
SROMuscular weakness · · ✓
SROPain in extremity ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROTenderness · · ✓

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

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