3E2-31891-58899
4 vaccinations
13 coded responses
32 check-ins
13 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 372 / TN
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-05
Registered in v-safe
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2021-02-05
Dose 1 — Moderna
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2021-02-05
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tirednessAdult check-in
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2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Fever · Rash, not including the immediate area around the injection siteFree text: Swollen under arm, lymph nodes, quite soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Muscle or body achesFree text: Residual lymph node swelling and sorenessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Fatigue or tirednessFree text: Last night was itchy all over my trunk. Took an antihistamine and it was better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Pruritus — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Itchy trunk tho no rash, still swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — day 7, dose 1MedDRA: Lymphadenopathy, Pruritus — Feeling: Good · Fatigue or tirednessFree text: Still have itching around trunk and swollen glandsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-28
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2021-03-05
Dose 2 — Moderna
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2021-03-05
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, HeadacheAdult check-in
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2021-03-06
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, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Itchy trunk, swollen lymph nodes, irregularityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Itching in trunk area. Stomach upset.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: GoodFree text: Itching in trunk area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Pruritus — Feeling: GoodFree text: Residual swollen lymph nodes and itchiness on trunkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-03-26
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2021-04-02
Survey response — day 28, dose 2MedDRA: Respiratory tract infection, Streptococcal infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Strep throat along with respiratory virus, contracted from my granddaughter. (She tested negative for flu and Covid)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-09
- 2021-04-17
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2021-06-04
Survey response — 3 months, dose 2MedDRA: Hand-foot-and-mouth disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Got HFMD from my granddaughter. It was awful!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-10
- 2021-09-03
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2021-11-02
Dose 3 — ModernaCo-administered: Flu
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2022-03-05
Survey response — 12 months, dose 2MedDRA: Gastroenteritis viral — Feeling: FairFree text: Stomach virusMedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Dose 4 — Moderna
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2022-05-01
Survey response — day 14, dose 4MedDRA: Medical counselling, Respiratory tract infection — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Got a respiratory infection, not Covid, treated w z pack. · Healthcare visit (other): Husband is a physicianMedDRA releases: 2024-11 · check-in free text available
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2022-05-01
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-03
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-29
- 2022-07-15
- 2022-10-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-11-02 | Moderna | Flu |
| 4 | 2022-04-15 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen under arm, lymph nodes, quite sore
Systemic reaction (other): Residual lymph node swelling and soreness
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Last night was itchy all over my trunk. Took an antihistamine and it was better.
Systemic reaction (other): Itchy trunk tho no rash, still swollen lymph nodes
Release 4 — day 7, dose 1
Systemic reaction (other): Still have itching around trunk and swollen glands
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Itchy trunk, swollen lymph nodes, irregularity
Systemic reaction (other): Itching in trunk area. Stomach upset.
Systemic reaction (other): Itching in trunk area.
Systemic reaction (other): Residual swollen lymph nodes and itchiness on trunk
Release 6 — day 28, dose 2
Symptoms: Strep throat along with respiratory virus, contracted from my granddaughter. (She tested negative for flu and Covid)
Release 8 — 3 months, dose 2
Symptoms: Got HFMD from my granddaughter. It was awful!
Release 11 — 12 months, dose 2
Symptoms: Stomach virus
Release 11 — day 14, dose 4
Symptoms: Got a respiratory infection, not Covid, treated w z pack.
Healthcare visit (other): Husband is a physician
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 | Medical counselling | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Hand-foot-and-mouth disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract infection | ✓ | ✓ | ✓ |
| SD | Streptococcal infection | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release