Y42-20623-09482
2 vaccinations
5 coded responses
12 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 546 / WI
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Moderna
-
2021-03-24
Registered in v-safe
-
2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Joint swelling, Peripheral swelling — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: My arm has swollen double the size from the injection site down to my elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Hypoacusis — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to workFree text: Extremely lightheaded and muffled hearingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-04-01
Survey response — day 7, dose 1MedDRA: Bone pain, Mobility decreased, Pain, Pain in extremity, Skin burning sensation — Feeling: Fair · Site: Pain · Headache, Joint pains · Be unable to do your normal daily activitiesFree text: My arm pain is still moderate. Feels like its in my bones and hard to move. Burning pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
-
2021-04-20
Dose 2 — Moderna
-
2021-04-20
Health check-in — day 0, dose 2Feeling: Fair · Site: Redness · Headache, Fatigue or tirednessAdult check-in
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-05-18
Survey response — day 28, dose 2MedDRA: Pain in extremity, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Im still struggling a lot with the pain and movement of my injection arm(left) and my husband(DPT) is giving me Physical Therapy for it now. Its pretty bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-26
Survey response — day 35, dose 2MedDRA: Fatigue, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Im still having trouble with my left arm. Becomes so painful to use at times. Still so tired a lot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): My arm has swollen double the size from the injection site down to my elbow
Systemic reaction (other): Extremely lightheaded and muffled hearing
Release 6 — day 7, dose 1
Systemic reaction (other): My arm pain is still moderate. Feels like its in my bones and hard to move. Burning pain.
Release 8 — day 28, dose 2
Symptoms: Im still struggling a lot with the pain and movement of my injection arm(left) and my husband(DPT) is giving me Physical Therapy for it now. Its pretty bad.
Release 8 — day 35, dose 2
Symptoms: Im still having trouble with my left arm. Becomes so painful to use at times. Still so tired a lot.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Bone pain | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hypoacusis | ✓ | ✓ | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release