6VZ-22937-51203
2 vaccinations
3 coded responses
7 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 463 / IN
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-12
Dose 1 — Moderna
-
2021-04-16
Registered in v-safe
-
2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Fair · Site: Pain · Muscle or body aches, Diarrhea, Abdominal painFree text: I actually do not have a redness or swell I experienced bruising, which is severe, dark bruising in about a 3x5 area of my arm near the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Contusion, Injection site bruising — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, DiarrheaFree text: I started experiencing severe bruising around the vaccination spot on my arm and it's gotten worse with each day It's getting really black all around my arm, and it gets blacker each day and covers about a 3x5 or 3x6-in area of my arm several really black bruises that I've taken pictures at from day one all the way until today and it just gets worse each dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Survey response — day 7, dose 1MedDRA: Contusion, Headache — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal painFree text: The severe bruising a week later has gotten worse day by day by day since day one when I received the vaccination The bruising is now completely black and covering an area of about nine and a half by four and a half inches and has spread from my arm to my shoulder and I am experiencing severe headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-05-03
-
2021-05-17
Dose 2 — Moderna
- 2021-05-17
- 2021-05-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Moderna | |
| 2 | 2021-05-17 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I actually do not have a redness or swell I experienced bruising, which is severe, dark bruising in about a 3x5 area of my arm near the injection site.
Systemic reaction (other): I started experiencing severe bruising around the vaccination spot on my arm and it's gotten worse with each day It's getting really black all around my arm, and it gets blacker each day and covers about a 3x5 or 3x6-in area of my arm several really black bruises that I've taken pictures at from day one all the way until today and it just gets worse each day
Release 7 — day 7, dose 1
Systemic reaction (other): The severe bruising a week later has gotten worse day by day by day since day one when I received the vaccination The bruising is now completely black and covering an area of about nine and a half by four and a half inches and has spread from my arm to my shoulder and I am experiencing severe headaches
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 |
|---|---|---|---|---|
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release