28Y-17299-01354
4 vaccinations
10 coded responses
46 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 786 / TX
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Dose 1 — Moderna
-
2021-02-02
Registered in v-safe
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2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
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2021-03-04
Dose 2 — Moderna
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2021-03-04
Survey response — day 0, dose 2MedDRA: Breast swelling — Feeling: Good · Site: SwellingFree text: I noticed some swelling in breast tissue yesterday before I got today's jab. Don't know what to make of that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Breast swelling, Oedema peripheral — Feeling: Good · Site: Pain, Swelling, ItchingFree text: Mild swelling anf occasional near right underarm and breast. Odd, because I was vaccinated on the left. aMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Good · Site: SwellingFree text: Intermittent prickly feeling in right breast, no pain or noticeable swelling (I was vaccinated on the left???).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
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2021-03-18
Survey response — day 14, dose 2MedDRA: Abdominal distension, Abdominal pain upper, Fatigue — Feeling: FairFree text: Sore belly, bloating, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-01
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2021-04-08
Survey response — day 35, dose 2MedDRA: Neuropathy peripheral, Swelling, Tenderness — Feeling: GoodFree text: Tenderness in right shoulder opposite of vaccine side. A small soft bump came up in the joint by the clavicle. I poked with my finger a few times, felt a sharp pain, lump immediately disappeared that's not recurred. No more tenderness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-06-03
- 2021-09-02
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2021-10-11
Dose 3 — Moderna
- 2021-10-27
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2022-01-10
- 2022-04-11
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2022-04-13
Dose 4 — Moderna
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2022-04-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2022-04-16
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, DiarrheaFree text: Swollen lymph nodeMedDRA releases: 2024-11 · check-in free text available
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2022-04-17
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: ItchingFree text: Lymph node still swollen but seems to be reducing.MedDRA releases: 2024-11 · check-in free text available
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2022-04-18
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: Lymph node still slightly swollen.MedDRA releases: 2024-11 · check-in free text available
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2022-04-19
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node dramatically reduced.MedDRA releases: 2024-11 · check-in free text available
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2022-04-20
Survey response — day 7, dose 4MedDRA: Induration, Lymphadenopathy — Feeling: GoodFree text: That swollen lymph node is now tiny, smaller than a pea, hard, and movable. Not painful, but present.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-20
- 2022-05-25
- 2022-07-13
- 2022-10-12
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-11 | Moderna | No |
| 4 | 2022-04-13 | Moderna | No |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): I noticed some swelling in breast tissue yesterday before I got today's jab. Don't know what to make of that.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Mild swelling anf occasional near right underarm and breast. Odd, because I was vaccinated on the left. a
Systemic reaction (other): Intermittent prickly feeling in right breast, no pain or noticeable swelling (I was vaccinated on the left???).
Release 5 — day 14, dose 2
Symptoms: Sore belly, bloating, fatigue
Release 7 — day 35, dose 2
Symptoms: Tenderness in right shoulder opposite of vaccine side. A small soft bump came up in the joint by the clavicle. I poked with my finger a few times, felt a sharp pain, lump immediately disappeared that's not recurred. No more tenderness.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph node
Systemic reaction (other): Lymph node still swollen but seems to be reducing.
Systemic reaction (other): Lymph node still slightly swollen.
Systemic reaction (other): Swollen lymph node dramatically reduced.
Release 11 — day 7, dose 4
Systemic reaction (other): That swollen lymph node is now tiny, smaller than a pea, hard, and movable. Not painful, but present.
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 | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Breast swelling | ✓ | ✓ | ✓ |
| SRO | Induration | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release