6S3-17381-49404
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 492 / MI
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-03-22
Registered in v-safe
-
2021-03-22
Survey response — day 7, dose 1MedDRA: Chills, Erythema, Nausea, Urticaria — Feeling: Good · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Day after vaccination chills nausea and big red welt on armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-01
-
2021-04-08
Dose 2 — Moderna
- 2021-04-08
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, DiarrheaAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-29
-
2021-05-06
Survey response — day 28, dose 2MedDRA: Injection site pain — Feeling: FairFree text: The injection site on both arms has been sore. The right arm more so. This was the arm where i.had the reaction to the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-13
Survey response — day 35, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Ongoing pain at the site of the first injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-07-10
-
2021-10-08
Survey response — 6 months, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Sore arm where second injection was.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-08
Survey response — 12 months, dose 2MedDRA: Injection site mass, Injection site pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have had arm pain at the site of the injection of my second injection which was last April, right arm. Had someone look at it and have a 1/2 golf ball sized lump at the injection site which hasn't gone away. Periodic pain at the injection site.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): Day after vaccination chills nausea and big red welt on arm
Release 8 — day 28, dose 2
Symptoms: The injection site on both arms has been sore. The right arm more so. This was the arm where i.had the reaction to the injection.
Release 8 — day 35, dose 2
Symptoms: Ongoing pain at the site of the first injection.
Release 10 — 6 months, dose 2
Symptoms: Sore arm where second injection was.
Release 11 — 12 months, dose 2
Symptoms: I have had arm pain at the site of the injection of my second injection which was last April, right arm. Had someone look at it and have a 1/2 golf ball sized lump at the injection site which hasn't gone away. Periodic pain at the 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Injection site mass | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release