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SLR-30758-76450

2 vaccinations 5 coded responses 9 check-ins 5 free-text entries 4 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
070 / NJ
Registered
2021-01-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-02
    Dose 1 — Moderna
  2. 2021-01-03
    Registered in v-safe
  3. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injected limb mobility decreased, Injection site pain — Feeling: Good · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities
    Free text: The only symptom I've experienced is significant pain/soreness in the muscle I received my vaccination in. In certain resting positions, my arm feels fine but I am unable to lift anything with this arm or raise it above my shoulder/head.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-03
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  6. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Urticaria — Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I woke up this morning covered in hives, they've progressively gotten worse throughout the day and I am taking an antihistamine to try to combat them.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-08
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-01-09
    Survey response — day 7, dose 1
    MedDRA: Angioedema, Emergency care, Medical observation, Urticaria — Feeling: Poor · Fever · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: I went to the ER and received IV fluids/steroids/antihistamines for severe hives/angioedema.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-09
    Report sent to call center — day 7, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-01-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-01
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-03
    Dose 2 — Moderna
  13. 2021-02-12
  14. 2021-04-03
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-08-04
    Survey response — 6 months, dose 2
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good
    Free text: Common cold symptoms (Strep and COVID were ruled out via test)
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2022-02-03
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Influenza — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I contracted COVID and experienced flu symptoms for 3-4 days (ongoing but recovering).
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-02-03
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  18. 2022-02-04

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-02-03Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): The only symptom I've experienced is significant pain/soreness in the muscle I received my vaccination in. In certain resting positions, my arm feels fine but I am unable to lift anything with this arm or raise it above my shoulder/head.

2021-01-08

Systemic reaction (other): I woke up this morning covered in hives, they've progressively gotten worse throughout the day and I am taking an antihistamine to try to combat them.

Release 1 — day 7, dose 1

2021-01-09

Systemic reaction (other): I went to the ER and received IV fluids/steroids/antihistamines for severe hives/angioedema.

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: Common cold symptoms (Strep and COVID were ruled out via test)

Release 11 — 12 months, dose 2

2022-02-03

Symptoms: I contracted COVID and experienced flu symptoms for 3-4 days (ongoing but recovering).

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
SDCOVID-19 · · ✓
SDInfluenza · · ✓
SDNasopharyngitis ✓ · ✓
SDSARS-CoV-2 test negative ✓ · ✓
SROAngioedema ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMedical observation ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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