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
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2021-02-13
Dose 1 — Moderna
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2021-02-14
Registered in v-safe
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2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
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2021-02-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, SwellingFree 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
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2021-02-20
Survey response — day 7, dose 1MedDRA: Axillary pain, Tenderness — Feeling: GoodFree text: Still tender in armpit area, same arm as injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth — Feeling: FairFree 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
- 2021-03-06
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2021-03-13
Dose 2 — Moderna
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2021-03-13
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Swelling, Tenderness — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree 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
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Swelling, Tenderness — Feeling: Good · Site: PainFree 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
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2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-20
- 2021-04-12
- 2021-04-27
- 2021-06-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
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
Systemic reaction (other): Still tender in armpit area, same arm as injection site.
Release 4 — day 14, dose 1
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
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.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release