Z3J-34430-41167
3 vaccinations
6 coded responses
26 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 920 / CA
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain, SwellingFree text: The injection site is sore. That is my only symptom.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
-
2021-02-12
Survey response — day 14, dose 1MedDRA: Erythema, Pain in extremity, Peripheral swelling, Tenderness — Feeling: GoodFree text: On day 8 my arm redness and swelling got much worse. It was very tender and sore. My whole arm hurt. The swelling measured 2x3. I marked it to monitor it. Fortunately it didn't get larger and the swelling started to resolve. By day 13 it was normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: I felt unwell last night. Aches and pains and sleep most of the evening until about 9 am. No fever. Today. I'm feeling better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
-
2021-03-12
Survey response — day 14, dose 2MedDRA: Fatigue, Malaise — Feeling: GoodFree text: I was doing well until Wednesday. Then on Wednesday I was exhausted and by the time I went to sleep I was fatigued to the point of feeling unwell. I woke up feeling better and have been ok since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-04-09
Survey response — day 42, dose 2MedDRA: Erythema, Peripheral swelling — Feeling: FairFree text: My left arm is red and swollen from a SHINGLES vaccine I got 2 days agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
Survey response — 3 months, dose 2MedDRA: Injected limb mobility decreased, Loss of personal independence in daily activities, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I've had chronic bilateral arm pain which became worse on my right side after my 2nd vaccine ( in my right arm). The pain affected use of my arm for the last 3 +mo & my daily life has worsened. I didn't directly associate it until reflecting back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-27
-
2021-11-16
Dose 3 — Moderna
- 2022-02-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): The injection site is sore. That is my only symptom.
Release 4 — day 14, dose 1
Symptoms: On day 8 my arm redness and swelling got much worse. It was very tender and sore. My whole arm hurt. The swelling measured 2x3. I marked it to monitor it. Fortunately it didn't get larger and the swelling started to resolve. By day 13 it was normal cut off by CDC
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I felt unwell last night. Aches and pains and sleep most of the evening until about 9 am. No fever. Today. I'm feeling better today.
Release 5 — day 14, dose 2
Symptoms: I was doing well until Wednesday. Then on Wednesday I was exhausted and by the time I went to sleep I was fatigued to the point of feeling unwell. I woke up feeling better and have been ok since.
Release 7 — day 42, dose 2
Symptoms: My left arm is red and swollen from a SHINGLES vaccine I got 2 days ago
Release 8 — 3 months, dose 2
Symptoms: I've had chronic bilateral arm pain which became worse on my right side after my 2nd vaccine ( in my right arm). The pain affected use of my arm for the last 3 +mo & my daily life has worsened. I didn't directly associate it until reflecting back.
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injected limb mobility decreased | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release