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
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2021-01-26
Dose 1 — Moderna
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2021-02-02
Registered in v-safe
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2021-02-02
Survey response — day 7, dose 1MedDRA: 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 siteFree 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
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2021-02-09
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: GoodFree 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
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2021-04-27
Survey response — 3 months, dose 1MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree 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
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2021-06-19
Dose 2 — Moderna
- 2021-07-27
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2021-11-30
Dose 3 — Moderna
- 2022-01-26
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2022-09-12
Dose 4 — Moderna
- 2022-09-19
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2022-09-26
Survey response — day 14, dose 4MedDRA: Heart rate irregular, Pre-existing disease — Feeling: GoodFree 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
- 2022-10-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-06-19 | Moderna | No |
| 3 | 2021-11-30 | Moderna | No |
| 4 | 2022-09-12 | Moderna | No |
Free text
Release 3 — day 7, dose 1
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release