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W4U-23846-70338

1 vaccination 1 coded response 1 check-in 1 free-text entry 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
100 / NY
Registered
2021-04-19
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-08
    Dose 1 — Moderna
  2. 2021-04-19
    Registered in v-safe
  3. 2021-04-19
    Survey response — day 7, dose 1
    MedDRA: Injection site mass — Feeling: Good · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Lump at injection site, its still there and its been over a week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Moderna

Free text

Release 7 — day 7, dose 1

2021-04-19

Systemic reaction (other): Lump at injection site, its still there and its been over a week

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
SROInjection site mass ✓ ✓ ✓

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