ZDM-31017-95659
2 vaccinations
2 coded responses
5 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 943 / CA
- Registered
- 2021-01-07
- Relationship
- Self
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
-
2021-01-07
Survey response — day 7, dose 1MedDRA: Breast discomfort, Immediate post-injection reaction, Joint swelling — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: I experienced tightness around my breast implants about 20 minutes after injection, and this lasted about 2 hours. I also experienced swelling of my right third digit ( I got my injection in my left arm) at the proximal interphalangeal joint which made it painful to bend and this happened about 1 hour after injection and lasted for about 1-2 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-07
Report sent to call center — day 7, dose 1Be unable to do your normal daily activitiesno matching call case
- 2021-01-13
- 2021-01-19
-
2021-01-25
Dose 2 — Moderna
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Facial pain — Feeling: GoodFree text: Intermittent stabbing Left facial pain that started about 24 hours after dose and lasted for about 24 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-25 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|
1 report(s) with no call case — see the timeline.
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): I experienced tightness around my breast implants about 20 minutes after injection, and this lasted about 2 hours. I also experienced swelling of my right third digit ( I got my injection in my left arm) at the proximal interphalangeal joint which made it painful to bend and this happened about 1 hour after injection and lasted for about 1-2 hours.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Intermittent stabbing Left facial pain that started about 24 hours after dose and lasted for about 24 hours.
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 | Breast discomfort | ✓ | ✓ | ✓ |
| SRO | Breast tenderness | ○ | ○ | ○ |
| SRO | Facial pain | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release