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
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
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2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion — Feeling: Good · Site: Pain · Joint painsFree text: Nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
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2021-02-08
Dose 2 — Moderna
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2021-02-23
Survey response — day 14, dose 2MedDRA: Chills, Fatigue, Headache, Pain, Pain in extremity, Pre-existing disease, Pyrexia, Tinnitus — Feeling: GoodFree 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
- 2021-03-01
- 2021-08-09
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2021-11-30
Dose 3 — Pfizer-BioNTech
- 2021-11-30
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2021-12-01
Survey response — days 1–6 daily, dose 3MedDRA: 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 activitiesFree text: Baseline tinnitus is worse, just like when I had first 2 Moderna shots.MedDRA releases: 2024-11 · check-in free text available
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2021-12-02
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessFree 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
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2021-12-03
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Itching · Fatigue or tirednessFree text: Left supraclavicular lymphadenopathy/swelling, somewhat improved todayMedDRA releases: 2024-11 · check-in free text available
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2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy, Tenderness — Feeling: Good · Headache, Muscle or body achesFree text: Left supraclavicular lymphadenopathy continues to improve, now with right lateral/posterior musculoskeletal/lymph node tendernessMedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body achesFree text: LymphadenopathyMedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2021-12-16
- 2021-12-21
- 2021-12-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-11-30 | Pfizer-BioNTech | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Nasal congestion
Release 4 — day 14, dose 2
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
Systemic reaction (other): Baseline tinnitus is worse, just like when I had first 2 Moderna shots.
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.
Systemic reaction (other): Left supraclavicular lymphadenopathy/swelling, somewhat improved today
Systemic reaction (other): Left supraclavicular lymphadenopathy continues to improve, now with right lateral/posterior musculoskeletal/lymph node tenderness
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release