3GU-16917-93303
3 vaccinations
7 coded responses
39 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 972 / OR
- Registered
- 2021-05-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-30
Dose 1 — Moderna
-
2021-05-01
Registered in v-safe
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-14
- 2021-05-21
-
2021-05-28
Dose 2 — Moderna
- 2021-05-28
-
2021-05-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-05-30
Survey response — days 1–6 daily, dose 2MedDRA: Mass, Swelling, Tenderness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Lump (lymph node?) on my left side near collarbone is swollen and slightly tender to the touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-31
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Lymphadenopathy, Pruritus, Swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Swollen left lymph node above collarbone. Also, the red, swollen, itchy patch starts an inch below the injection starts (not including the site) and is 2" by 2" and slowly spreading down arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Swollen lymph nodes above collarbone on leftMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash, Lymphadenopathy, Skin warm — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Rash continuing to slowly spread on injection arm. 4" by 3". Warm to the touch. Also, I still have swollen left collarbone area lymph nodes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Swollen left lymph nodes at collarboneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Survey response — day 7, dose 2MedDRA: Injection site rash — Feeling: Good · Site: Redness, ItchingFree text: Rash, not including the injection site but a couple inches below. Upper part if the patch is healing. The loer half is still slowly spreading around my bicep area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-07-02
- 2021-07-09
- 2021-08-27
- 2021-11-26
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2021-12-08
Dose 3 — Pfizer-BioNTech
- 2021-12-08
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2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Wheezing — Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Mild wheeziness. Moderate lightheadedness.MedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-23
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-03-09
- 2022-06-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Moderna | |
| 2 | 2021-05-28 | Moderna | |
| 3 | 2021-12-08 | Pfizer-BioNTech | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Lump (lymph node?) on my left side near collarbone is swollen and slightly tender to the touch
Systemic reaction (other): Swollen left lymph node above collarbone. Also, the red, swollen, itchy patch starts an inch below the injection starts (not including the site) and is 2" by 2" and slowly spreading down arm.
Systemic reaction (other): Swollen lymph nodes above collarbone on left
Systemic reaction (other): Rash continuing to slowly spread on injection arm. 4" by 3". Warm to the touch. Also, I still have swollen left collarbone area lymph nodes.
Systemic reaction (other): Swollen left lymph nodes at collarbone
Release 8 — day 7, dose 2
Systemic reaction (other): Rash, not including the injection site but a couple inches below. Upper part if the patch is healing. The loer half is still slowly spreading around my bicep area.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Mild wheeziness. Moderate lightheadedness.
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 |
|---|---|---|---|---|
| SRO | Dizziness | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Mass | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release