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Z6H-45493-07859

2 vaccinations 3 coded responses 7 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
480 / MI
Registered
2021-03-04
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-19
    Dose 1 — Moderna
  2. 2021-03-04
    Registered in v-safe
  3. 2021-03-04
    Survey response — day 7, dose 1
    MedDRA: Arthralgia, Arthritis, Immunisation reaction, Neck pain, Pain in extremity, Pre-existing disease, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Abdominal pain
    Free text: I had a reaction six days after 1st vaccination only when I applied Voltaren cream to my foot and applied Stop Pain cream to my neck (for arthritis pain).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-05
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-03-13
    Survey response — day 21, dose 1
    MedDRA: Injection site erythema, Injection site reaction, Injection site swelling — Feeling: Fair
    Free text: The two anti-inflammatory creams interactions used on my body six-days after the vaccination, caused swelling and redness in my left upper arm where the shot was given. Now at 22 days later, the swelling and red is gone, but a slight sensation remain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-19
    Dose 2 — Moderna
  7. 2021-03-19
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Disinfectant accidentally touched my wrist and that area turned red.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Chills
    Adult check-in
  9. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-19Moderna
22021-03-19Moderna

Free text

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): I had a reaction six days after 1st vaccination only when I applied Voltaren cream to my foot and applied Stop Pain cream to my neck (for arthritis pain).

Release 5 — day 21, dose 1

2021-03-13

Symptoms: The two anti-inflammatory creams interactions used on my body six-days after the vaccination, caused swelling and redness in my left upper arm where the shot was given. Now at 22 days later, the swelling and red is gone, but a slight sensation remain cut off by CDC

Release 5 — day 0, dose 2

2021-03-19

Systemic reaction (other): Disinfectant accidentally touched my wrist and that area turned red.

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
SDInjection site erythema ✓ ✓ ✓
SDInjection site reaction ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROArthritis ✓ ✓ ✓
SROImmunisation reaction ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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