6KE-28899-46970
2 vaccinations
7 coded responses
15 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 078 / NJ
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
-
2021-03-03
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Pretty sore in area of injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-10
- 2021-03-17
-
2021-04-07
Dose 2 — Moderna
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Breast pain, Mobility decreased, Neck pain, Pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore neck, very sore under armpit extending out towards side of breast making it difficult to lift armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Axillary pain, Breast pain, Mobility decreased — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Breast, underarm and shoulder pain maked it impossible to lift that armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Axillary pain, Pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: I still have pain that is invite shoulder and goes to the underneath of my arm pet making it very difficult for me to raise my armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Breast pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have pain under armpit and on side of breast....i will never do this againMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — day 7, dose 2MedDRA: Axillary pain, Breast pain, Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Sore armpit, breast and back of neck stiffnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 14, dose 2MedDRA: Dizziness, Lymphadenopathy, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Infrequent waves of dizziness when i bens over or move too quick... I also still have swollen live nodes by my chest by my collar bone and by my neck · Healthcare visit (other): I went directly to my doctor's officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-28
- 2022-03-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-04-07 | 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): Pretty sore in area of injection
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sore neck, very sore under armpit extending out towards side of breast making it difficult to lift arm
Systemic reaction (other): Breast, underarm and shoulder pain maked it impossible to lift that arm
Systemic reaction (other): I still have pain that is invite shoulder and goes to the underneath of my arm pet making it very difficult for me to raise my arm
Systemic reaction (other): I have pain under armpit and on side of breast....i will never do this again
Release 7 — day 7, dose 2
Systemic reaction (other): Sore armpit, breast and back of neck stiffness
Release 7 — day 14, dose 2
Symptoms: Infrequent waves of dizziness when i bens over or move too quick... I also still have swollen live nodes by my chest by my collar bone and by my neck
Healthcare visit (other): I went directly to my doctor's office
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release