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Z79-46522-75732

3 vaccinations 5 coded responses 30 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
444 / OH
Registered
2020-12-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-23
    Registered in v-safe
  2. 2020-12-23
    Dose 1 — Moderna
  3. 2020-12-23
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I have two quarter sized lumps on my arm one where the shot was and one right below the shot site they are very painful and red and warm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Mass, Pain — Feeling: Good · Site: Pain · Headache, Diarrhea
    Free text: The two very painful lumps have gone down almost gone all together
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2020-12-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Contusion — Feeling: Good · Headache
    Free text: I've noticed the last 2 days I'm getting small bruises on my arms without any reason why
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2020-12-30
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-01-07
    Survey response — day 14, dose 1
    MedDRA: Self-medication, Urticaria — Feeling: Fair
    Free text: My arm broke out in a huge hive on the shoulder where I got the covid vaccine over a week ago. I've been taking Benadryl for fours days it's faded but still there.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-20
    Dose 2 — Moderna
  12. 2021-01-27
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work
    Adult check-in
  13. 2021-02-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-02-10
    Survey response — day 21, dose 2
    MedDRA: Lymphadenopathy, Pain — Feeling: Good
    Free text: Pain and lymphnoid swelling on the left same side the covid test was given
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-07-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-10-29
    Dose 3 — Moderna
  21. 2021-10-29
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  22. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains
    Adult check-in
  23. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  24. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  25. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  26. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  27. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-01-30
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna
22021-01-20Moderna
32021-10-29Moderna No

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-25

Systemic reaction (other): I have two quarter sized lumps on my arm one where the shot was and one right below the shot site they are very painful and red and warm

2020-12-27

Systemic reaction (other): The two very painful lumps have gone down almost gone all together

2020-12-29

Systemic reaction (other): I've noticed the last 2 days I'm getting small bruises on my arms without any reason why

Release 1 — day 14, dose 1

2021-01-07

Symptoms: My arm broke out in a huge hive on the shoulder where I got the covid vaccine over a week ago. I've been taking Benadryl for fours days it's faded but still there.

Release 4 — day 21, dose 2

2021-02-10

Symptoms: Pain and lymphnoid swelling on the left same side the covid test was given

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
SDLymphadenopathy ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site mass ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROMass ✓ ✓ ✓
SROPain ✓ ✓ ✓

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