2TA-32274-81169
5 vaccinations
12 coded responses
65 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 201 / VA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Sore lymph node in armpit of injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymph node pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Sore lymph node in left armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-27
-
2021-11-19
Dose 3 — Moderna
-
2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Muscle or body achesAdult check-in
-
2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: Sore axillary lymph node on same side as vaccinationMedDRA releases: 2024-11 · check-in free text available
-
2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: Pain in left axillary lymph nodeMedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: Sore left axillary lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: GoodFree text: Slight pain in left axillary lymph nodeMedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2021-11-28
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-01-02
- 2022-02-18
-
2022-05-10
Dose 4 — Moderna
- 2022-05-10
-
2022-05-11
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2022-05-12
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: Sore axillary lymph node (left side where shot injected)MedDRA releases: 2024-11 · check-in free text available
-
2022-05-13
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: Sore axillary lymph nodeMedDRA releases: 2024-11 · check-in free text available
-
2022-05-14
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain — Feeling: GoodFree text: Sore axillary lymph nodeMedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
- 2022-05-17
- 2022-05-24
- 2022-05-31
-
2022-06-07
Survey response — day 28, dose 4MedDRA: Breast mass — Feeling: GoodFree text: I have a lump in my left breast, to be biopsied next week.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-14
-
2022-06-21
Survey response — day 42, dose 4MedDRA: Intraductal proliferative breast lesion — Feeling: GoodFree text: DCISMedDRA releases: 2024-11 · check-in free text available
-
2022-08-09
Survey response — 3 months, dose 4MedDRA: Breast conserving surgery, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I had a left breast lumpectomy on July 25. · Healthcare visit (other): Outpatient surgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-08-09
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-08-10
-
2022-09-30
Dose 5 — ModernaCo-administered: Flu:Tetanus
- 2022-09-30
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-09
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-05
- 2022-11-11
- 2023-01-02
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-05-10 | Moderna | No |
| 5 | 2022-09-30 | Moderna | Flu:Tetanus |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sore lymph node in armpit of injection arm
Systemic reaction (other): Sore lymph node in left armpit
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sore axillary lymph node on same side as vaccination
Systemic reaction (other): Pain in left axillary lymph node
Systemic reaction (other): Sore left axillary lymph nodes
Systemic reaction (other): Slight pain in left axillary lymph node
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Sore axillary lymph node (left side where shot injected)
Systemic reaction (other): Sore axillary lymph node
Systemic reaction (other): Sore axillary lymph node
Release 11 — day 28, dose 4
Symptoms: I have a lump in my left breast, to be biopsied next week.
Release 12 — day 42, dose 4
Symptoms: DCIS
Release 12 — 3 months, dose 4
Symptoms: I had a left breast lumpectomy on July 25.
Healthcare visit (other): Outpatient surgery
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 |
|---|---|---|---|---|
| HCVO | Surgery | · | · | ✓ |
| SD | Breast conserving surgery | · | · | ✓ |
| SD | Breast mass | · | · | ✓ |
| SD | Intraductal proliferative breast lesion | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release