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3EC-11649-80144

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
563 / MN
Registered
2021-04-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Dose 1 — Moderna
  2. 2021-04-08
    Registered in v-safe
  3. 2021-04-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches
    Free text: Had an outbreak of herpes within the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oedema peripheral — Feeling: Good
    Free text: swollen underarm on right side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair
    Free text: I had a genital herpes outbreak the first day. Last night I had a big oral herpes putbreak, which is extremely unusual for me. I hadn't had an outbreak in 5 years.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Abdominal pain
    Adult check-in
  8. 2021-04-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-04
    Dose 2 — Moderna
  12. 2021-05-04
    Survey response — day 0, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Swollen lymph node in armpit in arm where the shot was administered
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swollen lymph node in armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Swollen lymph nodes in my armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  16. 2021-05-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Still issues with lymph node in armpit, but lesser than previously
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Moderna
22021-05-04Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Had an outbreak of herpes within the shot.

2021-04-09

Systemic reaction (other): swollen underarm on right side

2021-04-10

Systemic reaction (other): I had a genital herpes outbreak the first day. Last night I had a big oral herpes putbreak, which is extremely unusual for me. I hadn't had an outbreak in 5 years.

Release 8 — day 0, dose 2

2021-05-04

Systemic reaction (other): Swollen lymph node in armpit in arm where the shot was administered

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Swollen lymph node in armpit

2021-05-06

Systemic reaction (other): Swollen lymph nodes in my armpit

2021-05-08

Systemic reaction (other): Still issues with lymph node in armpit, but lesser than previously

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
SROCondition aggravated ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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

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