6W5-30809-57558
3 vaccinations
10 coded responses
20 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 951 / CA
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Dose 1 — Moderna
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2021-04-16
Registered in v-safe
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2021-04-16
Survey response — day 7, dose 1MedDRA: Injection site swelling — Feeling: Fair · Site: SwellingFree text: Swelling started today in my left armpit, same arm that got the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — day 14, dose 1MedDRA: Oedema peripheral — Feeling: GoodFree text: Still have some swelling in my left armpit which was injected side. It is not worsen but not gone awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
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2021-05-07
Dose 2 — Moderna
- 2021-05-07
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Armpit swelling on injections sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Poor · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swelling got worse on my left armpit, injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Fair · Site: Swelling · Muscle or body achesFree text: Swelling armpit on injected armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: SwellingFree text: Armpit swelling still is thereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: SwellingFree text: Swelling in armpit still is thereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — day 7, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: SwellingFree text: Armpit swelling moderateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — day 14, dose 2MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to workFree text: Fatigue and low energyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
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2021-06-04
Survey response — day 28, dose 2MedDRA: Asthenia, Fatigue, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Fatigue, body pain, low energyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-11
- 2021-06-18
- 2021-08-06
- 2021-11-05
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2022-01-28
Dose 3 — Moderna
- 2022-05-01
- 2022-07-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-07 | Moderna | |
| 3 | 2022-01-28 | Moderna | No |
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): Swelling started today in my left armpit, same arm that got the injection
Release 7 — day 14, dose 1
Symptoms: Still have some swelling in my left armpit which was injected side. It is not worsen but not gone away
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Armpit swelling on injections side
Systemic reaction (other): Swelling got worse on my left armpit, injection arm
Systemic reaction (other): Swelling armpit on injected arm
Systemic reaction (other): Armpit swelling still is there
Systemic reaction (other): Swelling in armpit still is there
Release 8 — day 7, dose 2
Systemic reaction (other): Armpit swelling moderate
Release 8 — day 14, dose 2
Symptoms: Fatigue and low energy
Release 8 — day 28, dose 2
Symptoms: Fatigue, body pain, low energy
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release