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6NN-27613-35391

5 vaccinations 5 coded responses 33 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
074 / NJ
Registered
2021-01-02
Relationship
Self
Race
Multiracial
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-02
    Registered in v-safe
  2. 2021-01-02
    Dose 1 — Moderna
  3. 2021-01-02
    Survey response — day 0, dose 1
    MedDRA: Immediate post-injection reaction, Injection site coldness — Feeling: Good
    Free text: About 30 minutes after getting the shot my upper arm where I received the shot became cold. Like a cold air was around it. I wasn't chili but experienced this coolness around my upper arm for about 15 minutes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site induration — Feeling: Good · Site: Pain, Itching
    Free text: Just hardness around the shot which I think is normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  6. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-30
    Dose 2 — Moderna
  14. 2021-01-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain, Myalgia — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities
    Free text: Pain around the injection site. Muscle pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache · Be unable to work
    Adult check-in
  17. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · None
    Adult check-in
  19. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-02-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-08
    Dose 3 — Moderna
  30. 2022-01-30
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-03-09
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-06-08
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-06-24
    Dose 4 — Moderna
  34. 2022-11-01
    Dose 5 — Moderna
  35. 2022-12-08
    Survey response — day 35, dose 5
    MedDRA: Muscular weakness, Office visit, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Pain and weakness in right hand & fingers. · Healthcare visit (other): Orthopedic doctor and a scan
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-12-08
    Survey response — 12 months, dose 3
    MedDRA: Muscular weakness, Office visit, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Pain and weakness in right hand. · Healthcare visit (other): Orthopedic
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-12-08
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  38. 2022-12-08
    Report sent to call center — day 35, dose 5
    Get care from a doctor or other healthcare professional
    1 call case(s)
  39. 2022-12-09
  40. 2022-12-09
  41. 2022-12-13
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  42. 2023-02-02
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  43. 2023-05-04
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-01-30Moderna
32021-12-08Moderna No
42022-06-24Moderna No
52022-11-01Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-02

Systemic reaction (other): About 30 minutes after getting the shot my upper arm where I received the shot became cold. Like a cold air was around it. I wasn't chili but experienced this coolness around my upper arm for about 15 minutes.

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Just hardness around the shot which I think is normal.

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Pain around the injection site. Muscle pain.

Release 12 — 12 months, dose 3

2022-12-08

Symptoms: Pain and weakness in right hand.
Healthcare visit (other): Orthopedic

Release 12 — day 35, dose 5

2022-12-08

Symptoms: Pain and weakness in right hand & fingers.
Healthcare visit (other): Orthopedic doctor and a scan

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
HCVOOffice visit · · ✓
SDMuscular weakness · · ✓
SDPain in extremity · · ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROInjection site coldness ✓ ✓ ✓
SROInjection site induration ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓

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

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