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2HB-11205-01367

1 vaccination 7 coded responses 11 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
847 / UT
Registered
2021-01-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-05
    Registered in v-safe
  2. 2021-01-05
    Dose 1 — Moderna
  3. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  4. 2021-01-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Swollen lymph nodes in my armpit of the arm where I got the injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy, Pruritus — Feeling: Good
    Free text: Pronounced swelling, itching and pain of lymph nodes in armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy, Pruritus — Feeling: Good
    Free text: Prominent swelling, pain and itching in the lymph nodes of my armpit of the arm where I received the injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Injection site reaction, Lymphadenopathy, Pruritus — Feeling: Good
    Free text: Prominent swelling, pain and itching of lymph nodes in armpit of injection site arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-12
    Survey response — day 7, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy, Pruritus — Feeling: Good
    Free text: Pronounced swelling pain and itching in lymph nodes of armpit near injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-19
    Survey response — day 14, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Good
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-06
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-07-08
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  13. 2022-01-05
    Survey response — 12 months, dose 1
    MedDRA: Cough, Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I tested positive for Covid in September. Today I have a sore throat, cough, headache. Yesterday my sore throat was worse and I had a fever for two nights.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Swollen lymph nodes in my armpit of the arm where I got the injection

2021-01-09

Systemic reaction (other): Pronounced swelling, itching and pain of lymph nodes in armpit

2021-01-10

Systemic reaction (other): Prominent swelling, pain and itching in the lymph nodes of my armpit of the arm where I received the injection

2021-01-11

Systemic reaction (other): Prominent swelling, pain and itching of lymph nodes in armpit of injection site arm

Release 1 — day 7, dose 1

2021-01-12

Systemic reaction (other): Pronounced swelling pain and itching in lymph nodes of armpit near injection site

Release 2 — day 14, dose 1

2021-01-19

Symptoms: Sore throat

Release 10 — 12 months, dose 1

2022-01-05

Symptoms: I tested positive for Covid in September. Today I have a sore throat, cough, headache. Yesterday my sore throat was worse and I had a fever for two nights.

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDHeadache · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test positive · · ✓
SROAxillary pain ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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