Z4Y-64477-47671
3 vaccinations
4 coded responses
38 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 210 / MD
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-05
Dose 1 — Moderna
-
2021-04-07
Registered in v-safe
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-20
- 2021-04-26
-
2021-05-04
Dose 2 — Moderna
- 2021-05-04
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-12
- 2021-05-18
- 2021-05-27
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-08-03
- 2021-11-02
-
2021-11-04
Dose 3 — Moderna
-
2021-11-04
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
-
2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Skin tightness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Tightness in the area around the collarbone on the same side as the injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain, Pain, Swelling, Tenderness — Feeling: Fair · Site: Pain, Redness, SwellingFree text: This is the second day the area just above the collarbone on the side I received my injection is swollen and tender to the touch. Starting this morning, whenever my injection arm is fully extended, I feel needle-like stabbing pain from t lower bicep.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: When injection arm fully extended, I experience sharp stabbing pain in my lower bicep. The pain is less localized than yesterday though.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Paraesthesia — Feeling: Good · Site: Pain · FeverFree text: When the injection arm is fully extended, I feel pins and needles throughout the lower bicep but to a lesser more dispersed degree than yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-10
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-03
- 2022-05-05
- 2022-11-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | |
| 2 | 2021-05-04 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tightness in the area around the collarbone on the same side as the injection
Systemic reaction (other): This is the second day the area just above the collarbone on the side I received my injection is swollen and tender to the touch. Starting this morning, whenever my injection arm is fully extended, I feel needle-like stabbing pain from t lower bicep. cut off by CDC
Systemic reaction (other): When injection arm fully extended, I experience sharp stabbing pain in my lower bicep. The pain is less localized than yesterday though.
Systemic reaction (other): When the injection arm is fully extended, I feel pins and needles throughout the lower bicep but to a lesser more dispersed degree than yesterday.
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 |
|---|---|---|---|---|
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Skin tightness | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release