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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

  1. 2021-04-09
    Dose 1 — Moderna
  2. 2021-04-16
    Registered in v-safe
  3. 2021-04-16
    Survey response — day 7, dose 1
    MedDRA: Injection site swelling — Feeling: Fair · Site: Swelling
    Free text: Swelling started today in my left armpit, same arm that got the injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-23
    Survey response — day 14, dose 1
    MedDRA: Oedema peripheral — Feeling: Good
    Free text: Still have some swelling in my left armpit which was injected side. It is not worsen but not gone away
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-05-07
    Dose 2 — Moderna
  7. 2021-05-07
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  8. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  9. 2021-05-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Armpit swelling on injections side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Poor · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swelling got worse on my left armpit, injection arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Fair · Site: Swelling · Muscle or body aches
    Free text: Swelling armpit on injected arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Good · Site: Swelling
    Free text: Armpit swelling still is there
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Good · Site: Swelling
    Free text: Swelling in armpit still is there
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-14
    Survey response — day 7, dose 2
    MedDRA: Oedema peripheral — Feeling: Good · Site: Swelling
    Free text: Armpit swelling moderate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-21
    Survey response — day 14, dose 2
    MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to work
    Free text: Fatigue and low energy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-04
    Survey response — day 28, dose 2
    MedDRA: Asthenia, Fatigue, Pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Fatigue, body pain, low energy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-11-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-01-28
    Dose 3 — Moderna
  23. 2022-05-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-07-29
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Moderna
22021-05-07Moderna
32022-01-28Moderna No

Free text

Release 7 — day 7, dose 1

2021-04-16

Systemic reaction (other): Swelling started today in my left armpit, same arm that got the injection

Release 7 — day 14, dose 1

2021-04-23

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

2021-05-09

Systemic reaction (other): Armpit swelling on injections side

2021-05-10

Systemic reaction (other): Swelling got worse on my left armpit, injection arm

2021-05-11

Systemic reaction (other): Swelling armpit on injected arm

2021-05-12

Systemic reaction (other): Armpit swelling still is there

2021-05-13

Systemic reaction (other): Swelling in armpit still is there

Release 8 — day 7, dose 2

2021-05-14

Systemic reaction (other): Armpit swelling moderate

Release 8 — day 14, dose 2

2021-05-21

Symptoms: Fatigue and low energy

Release 8 — day 28, dose 2

2021-06-04

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

FieldPreferred term2021-092023-042024-11
SDAsthenia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDOedema peripheral ✓ ✓ ✓
SDPain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓

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