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JZH-10586-44881

1 vaccination 1 coded response 2 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
841 / UT
Registered
2021-02-07
Relationship
Self

Timeline

  1. 2021-01-30
    Dose 1 — Moderna
  2. 2021-02-07
    Registered in v-safe
  3. 2021-02-07
    Survey response — day 7, dose 1
    MedDRA: Pain in extremity, Peripheral swelling, Rash — Feeling: Fair · Site: Redness, Swelling, Itching · Headache
    Free text: I had pain and swelling in my arm 7 days after my injection followed by a rash that was 5x2 inches ,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-30Moderna

Free text

Release 3 — day 7, dose 1

2021-02-07

Systemic reaction (other): I had pain and swelling in my arm 7 days after my injection followed by a rash that was 5x2 inches ,

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
SROPain in extremity ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SRORash ✓ ✓ ✓

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