X3A-12270-83272
3 vaccinations
4 coded responses
22 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 900 / CA
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-01-08
Registered in v-safe
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2021-01-08
Dose 1 — Moderna
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2021-01-08
Survey response — day 0, dose 1MedDRA: Pain in extremity — Feeling: Fair · Site: PainFree text: Arm is really soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Mobility decreased, Pain, Pain in extremity — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Left arm hurts so bad I can't lift it and body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Injected limb mobility decreased, Pain in extremity — Feeling: Fair · Site: PainFree text: Pain in injected arm is less but still can't lift arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint painsAdult check-in
- 2021-01-13
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2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint painsAdult check-in
- 2021-01-16
- 2021-01-22
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2021-01-27
Dose 2 — Moderna
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-29
Survey response — day 21, dose 1MedDRA: Injection site swelling — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: My new injection area after receiving the second shot Thursday 01/27/21 is swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness, NauseaAdult check-in
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2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Nausea, DiarrheaAdult check-in
- 2021-02-05
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-08-01
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2021-10-28
Dose 3 — Moderna
- 2022-01-27
- 2022-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-09 | priority 2/3 |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Arm is really sore
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Left arm hurts so bad I can't lift it and body aches
Systemic reaction (other): Pain in injected arm is less but still can't lift arm.
Release 3 — day 21, dose 1
Symptoms: My new injection area after receiving the second shot Thursday 01/27/21 is swollen
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 | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | Injection site abscess | ○ | ○ | ○ |
| SRO | Injection site pain | ○ | ○ | ○ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release