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3GH-98681-77511

4 vaccinations 4 coded responses 31 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
606 / IL
Registered
2021-03-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
5JF-86891-24200 Child or adolescent in my care · Female · 2022-06-26

Timeline

  1. 2021-02-06
    Dose 1 — Moderna
  2. 2021-03-09
    Registered in v-safe
  3. 2021-03-09
    Dose 2 — Moderna
  4. 2021-03-09
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Headache
    Free text: Swollen lymph nodes under armpit on side of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  9. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  10. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-15
    Dose 3 — Moderna
  20. 2022-03-09
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-05-16
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-09-16
    Dose 4 — Pfizer-BioNTech
  23. 2022-09-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  24. 2022-09-18
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen lymph nodes
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-09-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-09-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Nausea
    Adult check-in
  27. 2022-09-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  28. 2022-09-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  29. 2022-09-23
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  30. 2022-09-30
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-10-07
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-10-14
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-10-21
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-10-29
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-12-16
    Survey response — 3 months, dose 4
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school
    Free text: Covid
    MedDRA releases: 2024-11 · check-in free text available
  36. 2023-03-17
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-06Moderna
22021-03-09Moderna
32021-11-15Moderna No
42022-09-16Pfizer-BioNTech No

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Swollen lymph nodes under armpit on side of injection

2021-03-12

Systemic reaction (other): Swollen lymph nodes

Release 12 — days 1–6 daily, dose 4

2022-09-18

Systemic reaction (other): Swollen lymph nodes

Release 12 — 3 months, dose 4

2022-12-16

Symptoms: Covid

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
SDCOVID-19 · · ✓
SROLymphadenopathy ✓ ✓ ✓

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

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