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37A-28472-56536

2 vaccinations 6 coded responses 26 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
064 / CT
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Survey response — day 0, dose 1
    MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Good · Site: Pain · Headache
    Free text: Dizzy about 10 mins after injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-26
    Dose 2 — Moderna
  14. 2021-01-26
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: I just got the vaccine 1/2 hr ago
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Pain — Feeling: Good
    Free text: Soreness in my lt axilla radiates to my ac fossa kind of a dull soreness in the same arm as the vaccine injection other wise Im good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Still have dull pain in my left axilla the arm I had the injection in it started Friday afternoon still the same
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: My lymph nodes are enlarged in my left axilla the are I got the vaccine in I scanned my axilla today and I have multiple enlarged lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-02
    Survey response — day 7, dose 2
    MedDRA: Lymph node pain — Feeling: Good
    Free text: Still sore axilla lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-02-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-01-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-26Moderna

Free text

Release 1 — day 0, dose 1

2020-12-29

Systemic reaction (other): Dizzy about 10 mins after injection

Release 2 — day 0, dose 2

2021-01-26

Systemic reaction (other): I just got the vaccine 1/2 hr ago

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Soreness in my lt axilla radiates to my ac fossa kind of a dull soreness in the same arm as the vaccine injection other wise Im good

2021-01-31

Systemic reaction (other): Still have dull pain in my left axilla the arm I had the injection in it started Friday afternoon still the same

2021-02-01

Systemic reaction (other): My lymph nodes are enlarged in my left axilla the are I got the vaccine in I scanned my axilla today and I have multiple enlarged lymph nodes

Release 3 — day 7, dose 2

2021-02-02

Systemic reaction (other): Still sore axilla lymph nodes

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
SROAxillary pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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