Y3D-30937-81286
3 vaccinations
4 coded responses
13 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 206 / MD
- Registered
- 2022-03-15
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Dose 1 — Moderna
-
2021-04-06
Dose 2 — Moderna
-
2022-03-15
Registered in v-safe
-
2022-03-15
Dose 3 — Moderna
- 2022-03-15
-
2022-03-16
Survey response — days 1–6 daily, dose 3MedDRA: Injection site reaction, Muscle spasms — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: When I got the vaccine I had a muscle spasm at the injection site. I was very alarmed because I didn't know what happened. I asked the pharmacist did the needle break off into my arm. She said no. I asked her what happened, "why did my arm shake."MedDRA releases: 2024-11 · check-in free text available
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2022-03-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-03-18
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral, Sleep disorder, Tenderness — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activitiesFree text: Swelling under arm pit has not gone down. Tender to the touch. Hard to sleep in certain positions. This is the arm where the shot was administered. Left arm.MedDRA releases: 2024-11 · check-in free text available
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2022-03-19
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort, Oedema peripheral — Feeling: Fair · Site: Swelling · Headache · Be unable to do your normal daily activitiesFree text: Swelling is in the arm pit. It's not getting bigger but it's not shrinking either. Uncomfortable to hold my arm down but can't get around that issue.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-20
- 2022-03-21
- 2022-03-22
- 2022-03-29
- 2022-04-05
- 2022-04-14
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2022-04-20
Survey response — day 35, dose 3MedDRA: Urinary tract infection — Feeling: GoodFree text: Urinary Track InfectionMedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | No |
| 2 | 2021-04-06 | Moderna | No |
| 3 | 2022-03-15 | Moderna | No |
Free text
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): When I got the vaccine I had a muscle spasm at the injection site. I was very alarmed because I didn't know what happened. I asked the pharmacist did the needle break off into my arm. She said no. I asked her what happened, "why did my arm shake."
Systemic reaction (other): Swelling under arm pit has not gone down. Tender to the touch. Hard to sleep in certain positions. This is the arm where the shot was administered. Left arm.
Systemic reaction (other): Swelling is in the arm pit. It's not getting bigger but it's not shrinking either. Uncomfortable to hold my arm down but can't get around that issue.
Release 11 — day 35, dose 3
Symptoms: Urinary Track Infection
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 | Urinary tract infection | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release