2KL-15448-36963
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 864 / AZ
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
-
2021-02-12
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Bruising around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Injection site bruising — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: Bruising at injection site and pain in my armpit (same arm as injection site?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Injection site bruising — Feeling: Good · Site: Pain · NauseaFree text: Bruising at injection site and pain in my armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising, Limb mass, Lymph node pain, Lymphadenopathy, Tenderness — Feeling: Good · Site: PainFree text: Tender, swollen lymph node in my armpit; also a tender lump in my arm about halfway between my armpit and elbow (on the front face of my arm between the deltoid and biceps)- same arm as injection site; still bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Axillary mass, Injection site bruising, Injection site mass, Injection site pain, Lymph node pain — Feeling: GoodFree text: Tender Lump in my arm halfway between armpit and elbow on arm with injection site; Bruising at injection site; tender lymph node in armpit (injection side)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising, Lymph node pain — Feeling: GoodFree text: Injection site bruising; tender lump on my arm (one with injection site) halfway between armpit and elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Survey response — day 7, dose 2MedDRA: Injection site bruising — Feeling: GoodFree text: Bruising at injection site,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-13
- 2022-02-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Bruising around injection site
Systemic reaction (other): Bruising at injection site and pain in my armpit (same arm as injection site?
Systemic reaction (other): Bruising at injection site and pain in my armpit
Systemic reaction (other): Tender, swollen lymph node in my armpit; also a tender lump in my arm about halfway between my armpit and elbow (on the front face of my arm between the deltoid and biceps)- same arm as injection site; still bruising at injection site
Systemic reaction (other): Tender Lump in my arm halfway between armpit and elbow on arm with injection site; Bruising at injection site; tender lymph node in armpit (injection side)
Systemic reaction (other): Injection site bruising; tender lump on my arm (one with injection site) halfway between armpit and elbow
Release 4 — day 7, dose 2
Systemic reaction (other): Bruising at injection site,
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 mass | ✓ | ✓ | ○ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site mass | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Limb mass | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release