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
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
- 2020-12-23
-
2020-12-25
Survey response — days 1–6 daily, dose 1MedDRA: 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 tirednessFree 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 warmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Mass, Pain — Feeling: Good · Site: Pain · Headache, DiarrheaFree text: The two very painful lumps have gone down almost gone all togetherMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-28
-
2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Contusion — Feeling: Good · HeadacheFree text: I've noticed the last 2 days I'm getting small bruises on my arms without any reason whyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-30
-
2021-01-07
Survey response — day 14, dose 1MedDRA: Self-medication, Urticaria — Feeling: FairFree 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
- 2021-01-14
-
2021-01-20
Dose 2 — Moderna
-
2021-01-27
Health check-in — day 7, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
- 2021-02-03
-
2021-02-10
Survey response — day 21, dose 2MedDRA: Lymphadenopathy, Pain — Feeling: GoodFree text: Pain and lymphnoid swelling on the left same side the covid test was givenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-04-21
- 2021-07-21
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Joint painsAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
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
Systemic reaction (other): The two very painful lumps have gone down almost gone all together
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Mass | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release