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
-
2021-01-02
Dose 1 — Moderna
-
2021-01-03
Registered in v-safe
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Injected limb mobility decreased, Injection site pain — Feeling: Good · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activitiesFree 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
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2021-01-03
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-07
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: 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 consultationFree 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
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2021-01-08
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-09
Survey response — day 7, dose 1MedDRA: 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 visitFree 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
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2021-01-09
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-25
- 2021-02-01
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2021-02-03
Dose 2 — Moderna
- 2021-02-12
- 2021-04-03
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2021-08-04
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: GoodFree text: Common cold symptoms (Strep and COVID were ruled out via test)MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-03
Survey response — 12 months, dose 2MedDRA: 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 consultationFree text: I contracted COVID and experienced flu symptoms for 3-4 days (ongoing but recovering).MedDRA releases: 2024-11 · check-in free text available
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2022-02-03
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
4 call center cases
4 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
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.
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
Systemic reaction (other): I went to the ER and received IV fluids/steroids/antihistamines for severe hives/angioedema.
Release 9 — 6 months, dose 2
Symptoms: Common cold symptoms (Strep and COVID were ruled out via test)
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SRO | Angioedema | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Medical observation | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release