YCK-20060-03630
3 vaccinations
3 coded responses
15 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 961 / CA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
-
2021-01-31
Survey response — day 7, dose 1MedDRA: Muscle swelling, Myosclerosis — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Symptoms better today, but muscles in my arm (deltoid and tricep) became hard and swollen after I took the nsaid meloxicam and used voltaren gel on back and hip for 4 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Survey response — day 14, dose 1MedDRA: Arthropod bite, Erythema, Pruritus, Rash erythematous — Feeling: FairFree text: I woke up with a red circle on the vaccinated arm 5 in diameter and a small red bump, like a mosquito bite in the circumference of the red circle. Both areas itched. It was not hard or hot like the last time I had this red rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
-
2021-02-18
Dose 2 — Moderna
- 2021-02-18
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Injection site warmth, Skin warm — Feeling: GoodFree text: Arm at injection site is warm to the touch. Slightly tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-08-19
-
2021-10-22
Dose 3 — Moderna
- 2021-10-24
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Symptoms better today, but muscles in my arm (deltoid and tricep) became hard and swollen after I took the nsaid meloxicam and used voltaren gel on back and hip for 4 days
Release 3 — day 14, dose 1
Symptoms: I woke up with a red circle on the vaccinated arm 5 in diameter and a small red bump, like a mosquito bite in the circumference of the red circle. Both areas itched. It was not hard or hot like the last time I had this red rash.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Arm at injection site is warm to the touch. Slightly tired
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 | Arthropod bite | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Muscle swelling | ✓ | ✓ | ✓ |
| SRO | Myosclerosis | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release