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
-
2021-02-19
Dose 1 — Moderna
-
2021-03-04
Registered in v-safe
-
2021-03-04
Survey response — day 7, dose 1MedDRA: 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 painFree 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
- 2021-03-05
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2021-03-13
Survey response — day 21, dose 1MedDRA: Injection site erythema, Injection site reaction, Injection site swelling — Feeling: FairFree 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 remainMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Dose 2 — Moderna
-
2021-03-19
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Disinfectant accidentally touched my wrist and that area turned red.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · ChillsAdult check-in
- 2021-03-22
- 2021-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna |
Free text
Release 5 — day 7, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release