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ULE-17672-88440

3 vaccinations 1 coded response 1 check-in 1 free-text entry 0 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
921 / CA
Registered
2021-05-19
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-21
    Dose 1 — Moderna
  2. 2021-05-19
    Registered in v-safe
  3. 2021-05-19
    Dose 2 — Moderna
  4. 2021-05-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work
    Free text: Shooting pain that comes and goes throughout entire arm where I was injected
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-11-10
    Dose 3 — Moderna

Vaccinations

DoseDateManufacturerCo-administered
12021-04-21Moderna
22021-05-19Moderna
32021-11-10Moderna No

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-20

Systemic reaction (other): Shooting pain that comes and goes throughout entire arm where I was injected

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 ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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