AQV-22646-91580
3 vaccinations
8 coded responses
15 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 432 / OH
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-03-25
Registered in v-safe
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain, SwellingFree text: Injection administered extremely highMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Injection site erythema — Feeling: Good · Site: Pain, Redness, SwellingFree text: Redness is a small patch of red about 1-2 inches below where the injection site wasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: SwellingFree text: Bruising around injection site (I should have listed this previously as well)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: SwellingFree text: Bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: SwellingFree text: Bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — day 14, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Shoulder pain and soreness (internal)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
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2021-04-21
Dose 2 — Moderna
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Good · Site: Redness, Swelling · Muscle or body achesFree text: Had chills twice yesterday but didnt include on symptom assessmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-10-22
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2021-10-25
Dose 3 — Moderna
- 2021-10-30
- 2021-10-31
- 2022-01-26
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2022-04-25
Survey response — 6 months, dose 3MedDRA: Clostridium difficile infection, Deep vein thrombosis, Episiotomy, Mastitis postpartum, Perineal injury, Postpartum state, Pulmonary embolism, Superficial vein thrombosis, Urinary tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Postpartum health complications (third degree episiotomy tear, bilateral pulmonary emboli, DVTs, superficial clots, UTI, mastitis twice, C diff)MedDRA releases: 2024-11 · check-in free text available
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2022-04-25
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-04-26
- 2022-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Injection administered extremely high
Systemic reaction (other): Redness is a small patch of red about 1-2 inches below where the injection site was
Systemic reaction (other): Bruising around injection site (I should have listed this previously as well)
Systemic reaction (other): Bruising at injection site
Systemic reaction (other): Bruising at injection site
Release 7 — day 14, dose 1
Symptoms: Shoulder pain and soreness (internal)
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Had chills twice yesterday but didnt include on symptom assessment
Release 11 — 6 months, dose 3
Symptoms: Postpartum health complications (third degree episiotomy tear, bilateral pulmonary emboli, DVTs, superficial clots, UTI, mastitis twice, C diff)
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Clostridium difficile infection | · | · | ✓ |
| SD | Deep vein thrombosis | · | · | ✓ |
| SD | Episiotomy | · | · | ✓ |
| SD | Mastitis postpartum | · | · | ✓ |
| SD | Perineal injury | · | · | ✓ |
| SD | Postpartum state | · | · | ✓ |
| SD | Pulmonary embolism | · | · | ✓ |
| SD | Superficial vein thrombosis | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release