ZY5-43860-83917
4 vaccinations
5 coded responses
55 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 920 / CA
- Registered
- 2021-05-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-01
Registered in v-safe
-
2021-05-01
Dose 1 — Moderna
-
2021-05-01
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
-
2021-05-02
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pain in extremity, Pyrexia — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Yesterday, after reporting, the pain in my arm got so bad I could barely move it and it would throb with pain if I forgot and tried. Also I developed a mild fever; I went to bed early and was much better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
-
2021-06-01
Dose 2 — Moderna
-
2021-06-01
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to workAdult check-in
-
2021-06-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-06-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-06-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-06-05
- 2021-06-06
- 2021-06-07
- 2021-06-08
- 2021-06-15
- 2021-06-23
- 2021-06-29
- 2021-07-06
- 2021-07-14
- 2021-08-31
- 2021-11-30
-
2021-12-17
Dose 3 — Moderna
- 2021-12-17
-
2021-12-18
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Insomnia, Nausea, Pain, Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Yesterday, several hours after I did the check in, my symptoms got way worse: fever, chills, body aches, and nausea. I wasn't wable to sleep until early in the morning.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend schoolFree text: I was so put of it yesterday that I forgot to add I had no appetite. it returned today, however. As of today, I think the lymph nodes under my left armpit are swollen because it hurts a lot there (this is the arm I received the vaccine in).MedDRA releases: 2024-11 · check-in free text available
-
2021-12-20
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: PainFree text: The swelling in my left armpit (the arm where I got the shot) is less but still there and painful today.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-21
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: PainFree text: The swelling under my left armpit (the arm I got the vaccine in) is almost gone but still slightly there and hurts occasionally.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-22
- 2021-12-23
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-01-21
- 2022-01-28
- 2022-03-18
- 2022-06-17
-
2022-09-29
Dose 4 — Moderna
-
2022-09-30
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-10-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-08
- 2022-10-13
- 2022-10-20
- 2022-10-29
- 2022-11-03
- 2022-11-11
- 2022-12-29
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-01 | Moderna | |
| 2 | 2021-06-01 | Moderna | |
| 3 | 2021-12-17 | Moderna | No |
| 4 | 2022-09-29 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday, after reporting, the pain in my arm got so bad I could barely move it and it would throb with pain if I forgot and tried. Also I developed a mild fever; I went to bed early and was much better today.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Yesterday, several hours after I did the check in, my symptoms got way worse: fever, chills, body aches, and nausea. I wasn't wable to sleep until early in the morning.
Systemic reaction (other): I was so put of it yesterday that I forgot to add I had no appetite. it returned today, however. As of today, I think the lymph nodes under my left armpit are swollen because it hurts a lot there (this is the arm I received the vaccine in).
Systemic reaction (other): The swelling in my left armpit (the arm where I got the shot) is less but still there and painful today.
Systemic reaction (other): The swelling under my left armpit (the arm I got the vaccine in) is almost gone but still slightly there and hurts occasionally.
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 | Axillary pain | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release