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Y49-54549-07339

4 vaccinations 4 coded responses 8 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
490 / MI
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Dose 1 — Moderna
  2. 2021-02-02
    Registered in v-safe
  3. 2021-02-02
    Survey response — day 7, dose 1
    MedDRA: Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling — Feeling: Fair · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site
    Free text: 1.5 inch red painful area that felt like a bruise one inch under injection site after receiving vaccine last week which lessened after a few days but is now swollen, red, raised and very itchy. New tiny red swollen itchy area just adjacent to injection site as well.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-09
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: Good
    Free text: The red spot on my right mid upper arm about an inch below the injection site that appeared about 8 days post vaccine rapidly increased in size to that of a small grapefruit x4days. It was swollen and itchy as well. It has just started to fade away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-27
    Survey response — 3 months, dose 1
    MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities
    Free text: Received second vaccine and about an hour later started having extreme joint and arm pain throughout the entire left arm I had the vaccine in. The pain lasted for two days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-19
    Dose 2 — Moderna
  7. 2021-07-27
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-11-30
    Dose 3 — Moderna
  9. 2022-01-26
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in
  10. 2022-09-12
    Dose 4 — Moderna
  11. 2022-09-19
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2022-09-26
    Survey response — day 14, dose 4
    MedDRA: Heart rate irregular, Pre-existing disease — Feeling: Good
    Free text: Daily mild heart beat irregularity. I've experienced this when my thyroid medication needs adjusted but it's currently well managed. Only change was vaccine 2 weeks ago.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-10-05
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-06-19Moderna No
32021-11-30Moderna No
42022-09-12Moderna No

Free text

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): 1.5 inch red painful area that felt like a bruise one inch under injection site after receiving vaccine last week which lessened after a few days but is now swollen, red, raised and very itchy. New tiny red swollen itchy area just adjacent to injection site as well.

Release 3 — day 14, dose 1

2021-02-09

Symptoms: The red spot on my right mid upper arm about an inch below the injection site that appeared about 8 days post vaccine rapidly increased in size to that of a small grapefruit x4days. It was swollen and itchy as well. It has just started to fade away. cut off by CDC

Release 8 — 3 months, dose 1

2021-04-27

Symptoms: Received second vaccine and about an hour later started having extreme joint and arm pain throughout the entire left arm I had the vaccine in. The pain lasted for two days.

Release 12 — day 14, dose 4

2022-09-26

Symptoms: Daily mild heart beat irregularity. I've experienced this when my thyroid medication needs adjusted but it's currently well managed. Only change was vaccine 2 weeks ago.

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
SDArthralgia ✓ ✓ ✓
SDHeart rate irregular · · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease · · ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site mass ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓

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