ZE8-10748-11322
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 465 / IN
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Dose 1 — Moderna
-
2021-02-17
Registered in v-safe
- 2021-02-17
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Just slight pain at injection site todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
-
2021-03-09
Survey response — day 21, dose 1MedDRA: Erythema, Injection site pruritus, Pruritus — Feeling: GoodFree text: I took my 88 yo mother 3/1/21 to get her first COVID vaccine & noticed my upper left arm was very itchy. This was the arm where I received my COVID vaccine, I came home and took a shower and noticed I had a large round area that was red and itchy!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Dose 2 — Moderna
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
-
2021-04-20
Survey response — day 35, dose 2MedDRA: Arthralgia, Axillary pain, Breast pain, Injection site pain, Myalgia, Neck pain — Feeling: FairFree text: Since last Thursday Ive noticed some increased arm pain at my injection site, L-deltoid, pain in my upper neck and shoulder area and some armpit pain and L breast pain. My recent mammogram was WNL with no lymph node swelling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Survey response — day 42, dose 2MedDRA: Axillary pain, Chest pain, Neck pain, Pain, Pain in extremity — Feeling: FairFree text: Pain that I spoke about on my last check remains the same. Seems more localized to my left arm, up my left neck area, left armpit area still. Radiates at times under my left breast into my chest area also.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-15
- 2021-09-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Just slight pain at injection site today
Release 5 — day 21, dose 1
Symptoms: I took my 88 yo mother 3/1/21 to get her first COVID vaccine & noticed my upper left arm was very itchy. This was the arm where I received my COVID vaccine, I came home and took a shower and noticed I had a large round area that was red and itchy!
Release 7 — day 35, dose 2
Symptoms: Since last Thursday Ive noticed some increased arm pain at my injection site, L-deltoid, pain in my upper neck and shoulder area and some armpit pain and L breast pain. My recent mammogram was WNL with no lymph node swelling.
Release 8 — day 42, dose 2
Symptoms: Pain that I spoke about on my last check remains the same. Seems more localized to my left arm, up my left neck area, left armpit area still. Radiates at times under my left breast into my chest area also.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Breast pain | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release