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2KD-25263-39265

3 vaccinations 7 coded responses 22 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
857 / AZ
Registered
2021-01-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Registered in v-safe
  2. 2021-01-14
    Dose 1 — Moderna
  3. 2021-01-14
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Chills
    Adult check-in
  4. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nasal congestion — Feeling: Good · Site: Pain · Joint pains
    Free text: Nasal congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-08
    Dose 2 — Moderna
  13. 2021-02-23
    Survey response — day 14, dose 2
    MedDRA: Chills, Fatigue, Headache, Pain, Pain in extremity, Pre-existing disease, Pyrexia, Tinnitus — Feeling: Good
    Free text: Fever, chills, body aches, sore arm, headache, fatigue, worsening tinnitus 24 hours after receiving 2nd Moderna dose, lasted 36 hours, then fully resolved.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-08-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-11-30
    Dose 3 — Pfizer-BioNTech
  17. 2021-11-30
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  18. 2021-12-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pre-existing disease, Reaction to previous exposure to any vaccine, Tinnitus — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Baseline tinnitus is worse, just like when I had first 2 Moderna shots.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-12-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Erythema, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness
    Free text: Left ipsilateral clavicular swelling (same side as left deltoid vaccination site 2 days ago), redness and tenderness of the left supraclavicular lymph node.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-12-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Free text: Left supraclavicular lymphadenopathy/swelling, somewhat improved today
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-12-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy, Tenderness — Feeling: Good · Headache, Muscle or body aches
    Free text: Left supraclavicular lymphadenopathy continues to improve, now with right lateral/posterior musculoskeletal/lymph node tenderness
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-12-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches
    Free text: Lymphadenopathy
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-12-07
    Health check-in — day 7, dose 3
    Feeling: Good · Headache, Muscle or body aches
    Adult check-in
  24. 2021-12-16
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-12-21
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-12-28
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-08Moderna
32021-11-30Pfizer-BioNTech No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Nasal congestion

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Fever, chills, body aches, sore arm, headache, fatigue, worsening tinnitus 24 hours after receiving 2nd Moderna dose, lasted 36 hours, then fully resolved.

Release 10 — days 1–6 daily, dose 3

2021-12-01

Systemic reaction (other): Baseline tinnitus is worse, just like when I had first 2 Moderna shots.

2021-12-02

Systemic reaction (other): Left ipsilateral clavicular swelling (same side as left deltoid vaccination site 2 days ago), redness and tenderness of the left supraclavicular lymph node.

2021-12-03

Systemic reaction (other): Left supraclavicular lymphadenopathy/swelling, somewhat improved today

2021-12-05

Systemic reaction (other): Left supraclavicular lymphadenopathy continues to improve, now with right lateral/posterior musculoskeletal/lymph node tenderness

2021-12-06

Systemic reaction (other): Lymphadenopathy

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
SDChills ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓
SROErythema · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SRONasal congestion ✓ ✓ ✓
SROPre-existing disease · · ✓
SROReaction to previous exposure to any vaccine · · ✓
SROTenderness · · ✓
SROTinnitus · · ✓

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