3SK-15391-61529
3 vaccinations
10 coded responses
37 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
YAY-23118-08123
Child or adolescent in my care · Female · 2021-11-10
6Y7-26497-23763
Child or adolescent in my care · Female · 2021-11-10
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
-
2021-03-25
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-27
- 2021-03-28
-
2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Left side gland in neck/clavicle area a bit swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-04-22
Dose 2 — Moderna
- 2021-04-22
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Pain of skin — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tirednessFree text: My hair follicles all over my body hurt when clothing brushes them. Same as when I have a fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased, Tenderness — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Fatigue or tirednessFree text: Hair follicles hurt when clothing touches them. Resting heart rate is in the low 100s and normally is in 80sMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Gland in left armpit is really swollen and uncomfortableMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort, Lymphadenopathy, Malaise, Restlessness — Feeling: Fair · Headache, Diarrhea · Be unable to do your normal daily activitiesFree text: Gland in my left armpit is swollen and is very uncomfortable. I am unable to rest well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort, Lymphadenopathy, Oedema peripheral — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Enlarged glad under left armpit making it uncomfortable to restMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — day 7, dose 2MedDRA: Lymphadenopathy, Oedema peripheral — Feeling: Good · HeadacheFree text: Swelling in gland in left armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
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2021-05-13
Survey response — day 21, dose 2MedDRA: Diarrhoea — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Stomach flu possibly. intense non stop diarrhea for last 4 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-05-27
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2021-06-03
Survey response — day 42, dose 2MedDRA: Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Constant headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-22
- 2021-10-21
-
2021-12-20
Dose 3 — Moderna
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2021-12-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains · Be unable to work or attend schoolAdult check-in
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2021-12-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-12-23
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2021-12-29
Survey response — day 7, dose 3MedDRA: Lymphadenopathy, Skin irritation — Feeling: FairFree text: Swollen lymph glands in armpits. Injection side is more swollen/irritated.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-03
- 2022-01-10
- 2022-01-17
- 2022-01-24
- 2022-02-02
- 2022-03-21
- 2022-06-20
- 2022-12-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-12-20 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Left side gland in neck/clavicle area a bit swollen
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): My hair follicles all over my body hurt when clothing brushes them. Same as when I have a fever.
Systemic reaction (other): Hair follicles hurt when clothing touches them. Resting heart rate is in the low 100s and normally is in 80s
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Gland in left armpit is really swollen and uncomfortable
Systemic reaction (other): Gland in my left armpit is swollen and is very uncomfortable. I am unable to rest well.
Systemic reaction (other): Enlarged glad under left armpit making it uncomfortable to rest
Release 8 — day 7, dose 2
Systemic reaction (other): Swelling in gland in left armpit
Release 8 — day 21, dose 2
Symptoms: Stomach flu possibly. intense non stop diarrhea for last 4 days.
Release 8 — day 42, dose 2
Symptoms: Constant headaches
Release 10 — day 7, dose 3
Systemic reaction (other): Swollen lymph glands in armpits. Injection side is more swollen/irritated.
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 |
|---|---|---|---|---|
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ○ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Restlessness | · | · | ✓ |
| SRO | Skin irritation | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release