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Y5S-32481-71246

2 vaccinations 5 coded responses 17 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
025 / MA
Registered
2021-02-14
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-13
    Dose 1 — Moderna
  2. 2021-02-14
    Registered in v-safe
  3. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  6. 2021-02-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling
    Free text: The swelling and pain mentioned are in the armpit, lymph node area of same side as injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-20
    Survey response — day 7, dose 1
    MedDRA: Axillary pain, Tenderness — Feeling: Good
    Free text: Still tender in armpit area, same arm as injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-27
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth — Feeling: Fair
    Free text: Large, red rash on the injection site arm. It has been itchy, raised, warm to the touch and bumpy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-13
    Dose 2 — Moderna
  11. 2021-03-13
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  13. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Swelling, Tenderness — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: There is pretty extreme swelling around my collar bone, along with a lot of tenderness on the same side of the injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Swelling, Tenderness — Feeling: Good · Site: Pain
    Free text: Still swelling sand tenderness in collarbone/neck area, same side as injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-03-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-27
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-06-12
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Moderna
22021-03-13Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): The swelling and pain mentioned are in the armpit, lymph node area of same side as injection.

Release 4 — day 7, dose 1

2021-02-20

Systemic reaction (other): Still tender in armpit area, same arm as injection site.

Release 4 — day 14, dose 1

2021-02-27

Symptoms: Large, red rash on the injection site arm. It has been itchy, raised, warm to the touch and bumpy.

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): There is pretty extreme swelling around my collar bone, along with a lot of tenderness on the same side of the injection.

2021-03-16

Systemic reaction (other): Still swelling sand tenderness in collarbone/neck area, same side as injection site.

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
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROSwelling ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

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