SSS-41061-56728
4 vaccinations
4 coded responses
46 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 805 / CO
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
-
2021-01-04
Health check-in — day 7, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-11
Survey response — day 14, dose 1MedDRA: Axillary pain, Injection site erythema, Injection site mass, Injection site pain, Injection site papule, Injection site swelling, Injection site warmth, Limb discomfort, Pain, Pain in extremity — Feeling: GoodFree text: Day 8 of vaccine my arm became swollen, red, painful and warm to touch at site of injection. Palpable lump at injection site. Axillary pain on injection side. Arm has remained mildly painful (dull ache) with axillary discomfort since that time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
-
2021-01-25
Dose 2 — Moderna
- 2021-01-25
-
2021-01-26
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Headache, Fatigue or tiredness, NauseaFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-10
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-04-26
- 2021-07-26
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
-
2022-01-28
Survey response — 3 months, dose 3MedDRA: HELLP syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: HELLP SyndromeMedDRA releases: 2024-11 · check-in free text available
-
2022-01-28
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-02-02
- 2022-04-29
-
2022-10-07
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-15
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2023-01-06
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-25 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-10-07 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — day 14, dose 1
Symptoms: Day 8 of vaccine my arm became swollen, red, painful and warm to touch at site of injection. Palpable lump at injection site. Axillary pain on injection side. Arm has remained mildly painful (dull ache) with axillary discomfort since that time.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): No
Systemic reaction (other): No
Release 11 — 3 months, dose 3
Symptoms: HELLP Syndrome
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 | Axillary pain | ✓ | ✓ | ✓ |
| SD | Discomfort | ○ | ○ | ○ |
| SD | HELLP syndrome | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site mass | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site papule | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release