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6RN-24459-85877

2 vaccinations 4 coded responses 8 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
021 / MA
Registered
2021-01-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Dose 1 — Moderna
  2. 2021-01-07
    Registered in v-safe
  3. 2021-01-07
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Diarrhea
    Free text: Ok
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-27
    Dose 2 — Moderna
  5. 2021-01-27
    Survey response — day 0, dose 2
    MedDRA: Injection site erythema, Injection site pain, Injection site swelling, Rash — Feeling: Good · Site: Pain
    Free text: With 1st injection 5days later I developed pain, redness, swelling at the site and a rash down my arm lasting approximately 2weeks
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  7. 2021-01-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Discomfort, Impaired work ability, Injection site erythema, Injection site pain, Injection site swelling, Neck pain, Pain in extremity, Self-medication — Feeling: Good · Site: Pain, Redness, Swelling · Be unable to do your normal daily activities
    Free text: Yesterday at 4pm I started to moderate pain in my neck, back which was achy and constant .. I took 975mg of Tylenol x3 (1s x for arm pain) discomfort and difficulty working due to pain. I am an adolescent psych nurse. After taking 800mg of Tylenol at 9pm I started to feel relief. Today pain/swelling/ redness on left arm from infection site and upper 1/2 of arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  10. 2021-07-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2022-01-27
    Survey response — 12 months, dose 2
    MedDRA: Headache, Impaired work ability, Injection site pain, Injection site rash — Feeling: Good · Be unable to work or attend school
    Free text: After I received booster had a rash at the site for a fee days and pain at site. I also h/a for few days...then I've been fine Just called out of work 2 Days then fine. No covid!!!
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-27Moderna

Free text

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Ok

Release 2 — day 0, dose 2

2021-01-27

Systemic reaction (other): With 1st injection 5days later I developed pain, redness, swelling at the site and a rash down my arm lasting approximately 2weeks

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Yesterday at 4pm I started to moderate pain in my neck, back which was achy and constant .. I took 975mg of Tylenol x3 (1s x for arm pain) discomfort and difficulty working due to pain. I am an adolescent psych nurse. After taking 800mg of Tylenol at 9pm I started to feel relief. Today pain/swelling/ redness on left arm from infection site and upper 1/2 of arm

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: After I received booster had a rash at the site for a fee days and pain at site. I also h/a for few days...then I've been fine Just called out of work 2 Days then fine. No covid!!!

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
SDHeadache · · ✓
SDImpaired work ability · · ✓
SDInjection site pain · · ✓
SDInjection site rash · · ✓
SROBack pain ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SROImpaired work ability ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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