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YJG-20228-32905

2 vaccinations 3 coded responses 16 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
641 / MO
Registered
2021-03-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-04
    Dose 1 — Moderna
  2. 2021-03-08
    Registered in v-safe
  3. 2021-03-08
    Dose 2 — Moderna
  4. 2021-03-08
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  6. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  7. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort, Oedema peripheral, Pain in extremity — Feeling: Good · Site: Pain, Swelling
    Free text: I tried to golf today. Its been three days since my shot. I could not finish. The pain in my arm was so bad it made my stomach upset. It only lasted a couple of minutes. I will wait until the swelling and the pain are completely gone before I golf again.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  9. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain, Pain — Feeling: Good · Site: Pain, Swelling
    Free text: The muscle at the site of the injection has flared up 3 different times. Very painful and lasted about 10 minutes. It was after I moved it a certain way.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Injection site inflammation, Neuralgia, Pain — Feeling: Good · Site: Pain, Swelling
    Free text: Mild to moderate pain in shoulder - maybe nerve pain from inflammation at injection site radiating to shoulder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-03-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-08Moderna

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): I tried to golf today. Its been three days since my shot. I could not finish. The pain in my arm was so bad it made my stomach upset. It only lasted a couple of minutes. I will wait until the swelling and the pain are completely gone before I golf again.

2021-03-13

Systemic reaction (other): The muscle at the site of the injection has flared up 3 different times. Very painful and lasted about 10 minutes. It was after I moved it a certain way.

2021-03-14

Systemic reaction (other): Mild to moderate pain in shoulder - maybe nerve pain from inflammation at injection site radiating to shoulder

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
SROAbdominal discomfort ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROInjection site inflammation ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SRONeuralgia ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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