3YV-12892-26901
4 vaccinations
8 coded responses
34 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 840 / UT
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-03-03
Dose 2 — Moderna
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Tenderness — Feeling: Good · Site: PainFree text: Lymph gland swelling and tenderness on side where shot was administeredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Lymph node swelling under arm where shot wasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: Still moderate lymph tenderness under left arm where I had the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Slight lymph node swelling and discomfort on side of shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Survey response — day 7, dose 2MedDRA: Lymph node pain — Feeling: GoodFree text: Diminishing lymph node tenderness under arm of inoculationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-25
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
- 2021-09-01
-
2021-10-29
Dose 3 — Moderna
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Pain, Pyrexia — Feeling: Good · Site: PainFree text: 24 hours after the shot I had fever, body aches and extreme tiredness which lasted about 24 hours.MedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort, Lymph node pain — Feeling: Good · Site: PainFree text: Lymph nodes are painful on side of shotwearing a bra is uncomfortableMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-12
- 2021-11-21
- 2021-11-27
- 2021-12-08
- 2022-02-01
-
2022-04-09
Dose 4 — Moderna
-
2022-05-01
Survey response — 6 months, dose 3MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-05-21
- 2022-10-10
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-09 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph gland swelling and tenderness on side where shot was administered
Systemic reaction (other): Lymph node swelling under arm where shot was
Systemic reaction (other): Still moderate lymph tenderness under left arm where I had the shot
Systemic reaction (other): Slight lymph node swelling and discomfort on side of shot
Release 5 — day 7, dose 2
Systemic reaction (other): Diminishing lymph node tenderness under arm of inoculation
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): 24 hours after the shot I had fever, body aches and extreme tiredness which lasted about 24 hours.
Systemic reaction (other): Lymph nodes are painful on side of shotwearing a bra is uncomfortable
Release 11 — 6 months, dose 3
Symptoms: Sore throat
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 | Oropharyngeal pain | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release