3TK-30093-94543
3 vaccinations
7 coded responses
26 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 908 / CA
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
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2021-01-20
Dose 1 — Moderna
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2021-02-17
Dose 2 — Moderna
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2021-02-19
Registered in v-safe
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, ItchingFree text: Lump above my left collarbone (subclavicular lymph gland?) about half the size of a ping pong ball. Noticed it the morning after my 2nd dose (left arm) which was given on Feb 17.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Neck mass — Feeling: GoodFree text: Lump on left collarbone is still large; same size. Not yet reducing in size.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Neck mass — Feeling: GoodFree text: Lump above my left collar bone (same side as injection) seems a tiny but noticeably smaller today. No pain. Squishy; moveable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Neck mass — Feeling: GoodFree text: Lump above left collarbone (same side as injection ) is same size as yesterday but appears to be slowly resolving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Neck mass — Feeling: GoodFree text: Lump above left collarbone (same side as injection) slowly continues to get smallerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — day 7, dose 2MedDRA: Neck mass — Feeling: GoodFree text: Lump above left collarbone (same side as injection) is about 2/3 its original size (1/2 the size of a ping pong ball) but is softer, squishier. I think it's resolving slowly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
- 2021-08-18
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2021-10-22
Dose 3 — Moderna
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2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
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2021-11-26
Survey response — day 35, dose 3MedDRA: Hypersensitivity, Nasopharyngitis, Pre-existing disease, SARS-CoV-2 test negative — Feeling: GoodFree text: Cold or allergy attack that lasted about 15-20 hours. Rapid antigen COVID-19 test was negative.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2022-01-21
- 2022-04-22
- 2022-10-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lump above my left collarbone (subclavicular lymph gland?) about half the size of a ping pong ball. Noticed it the morning after my 2nd dose (left arm) which was given on Feb 17.
Systemic reaction (other): Lump on left collarbone is still large; same size. Not yet reducing in size.
Systemic reaction (other): Lump above my left collar bone (same side as injection) seems a tiny but noticeably smaller today. No pain. Squishy; moveable.
Systemic reaction (other): Lump above left collarbone (same side as injection ) is same size as yesterday but appears to be slowly resolving.
Systemic reaction (other): Lump above left collarbone (same side as injection) slowly continues to get smaller
Release 4 — day 7, dose 2
Systemic reaction (other): Lump above left collarbone (same side as injection) is about 2/3 its original size (1/2 the size of a ping pong ball) but is softer, squishier. I think it's resolving slowly.
Release 10 — day 35, dose 3
Symptoms: Cold or allergy attack that lasted about 15-20 hours. Rapid antigen COVID-19 test was negative.
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 | Hypersensitivity | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Neck mass | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release