3XA-67966-71163
2 vaccinations
4 coded responses
10 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 031 / NH
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-15
Dose 1 — Moderna
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2021-01-21
Registered in v-safe
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2021-01-22
Survey response — day 7, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Muscle or body achesFree text: My lymph nodes are swollen and sore in my left armpit and neck on left side which is the same side as where I had my shot. This started Wed, 5 days after receiving the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — day 14, dose 1MedDRA: Diarrhoea, Injection site warmth, Lymphadenopathy, Malaise, Rash — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: 5 days after swollen sure lymph nodes. 8 days rash on shoulders and back. Injection site hot to touch. 9 days diarrhea & feeling very poorly. 12 days after all side effects began to fade. 14 days after rash completely cleared up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-12
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2021-02-18
Dose 2 — Moderna
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Night sweats — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Incredible amount of sweating the last 2 nights while I slept. Well, throughout the night as I was in and out of sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-25
- 2021-03-04
- 2021-03-11
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2022-02-18
Survey response — 12 months, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: I had shot 1 on 1/15/2021 and I still have lymph nodes that are enlarged in my neck on the side of the shoulder where the injection was.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): My lymph nodes are swollen and sore in my left armpit and neck on left side which is the same side as where I had my shot. This started Wed, 5 days after receiving the shot
Release 3 — day 14, dose 1
Symptoms: 5 days after swollen sure lymph nodes. 8 days rash on shoulders and back. Injection site hot to touch. 9 days diarrhea & feeling very poorly. 12 days after all side effects began to fade. 14 days after rash completely cleared up.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Incredible amount of sweating the last 2 nights while I slept. Well, throughout the night as I was in and out of sleep
Release 11 — 12 months, dose 2
Symptoms: I had shot 1 on 1/15/2021 and I still have lymph nodes that are enlarged in my neck on the side of the shoulder where the injection was.
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 | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release