3LK-21298-82800
3 vaccinations
5 coded responses
36 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 600 / IL
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 1 — Moderna
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
-
2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Discomfort, Lymph node pain — Feeling: FairFree text: Armpit lymph node discomfort/mild pain; first on left side (left side injection) and later on right side alsoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Survey response — day 7, dose 1MedDRA: Discomfort — Feeling: GoodFree text: Armpit lymph node discomfort, but less than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-05-04
- 2021-05-11
-
2021-05-13
Dose 2 — Moderna
-
2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Headache, Lymphadenopathy, Pain, Pyrexia — Feeling: GoodFree text: I am reporting late but after dose 2 and prior to today had injection site soreness, fever, chills, headache, fatigue (day after) and swollen armpit lymph nodes (3 days after).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-06-24
- 2021-08-12
- 2021-11-11
-
2021-12-03
Dose 3 — Moderna
- 2021-12-03
-
2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Swollen armpit lymph node on shot sideMedDRA releases: 2024-11 · check-in free text available
- 2021-12-05
-
2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · ChillsFree text: Injection side armpit lymph node swelling (mild)MedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-03-04
- 2022-06-03
- 2022-12-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-13 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Armpit lymph node discomfort/mild pain; first on left side (left side injection) and later on right side also
Release 7 — day 7, dose 1
Systemic reaction (other): Armpit lymph node discomfort, but less than yesterday
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I am reporting late but after dose 2 and prior to today had injection site soreness, fever, chills, headache, fatigue (day after) and swollen armpit lymph nodes (3 days after).
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen armpit lymph node on shot side
Systemic reaction (other): Injection side armpit lymph node swelling (mild)
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 | Chills | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release