3YW-68181-58907
2 vaccinations
8 coded responses
19 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 021 / MA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
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2021-01-15
Dose 1 — Moderna
- 2021-01-15
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Flatulence, Nasal congestion, Rhinorrhoea — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, NauseaFree text: Runny/stuffy nose, gas, woozy feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Site: SwellingFree text: Left armpit lymph nodes swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Lymphadenopathy — Feeling: Fair · Site: SwellingFree text: Lymph nodes in left arm swelling...light headed after working out at gym and walking up stairs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Site: SwellingFree text: Lymph nodes in my left arm still swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Survey response — day 7, dose 1MedDRA: Lymphadenopathy, Migraine — Feeling: Fair · Site: Swelling · HeadacheFree text: I've had a 2 day migraine like headache....started Wednesday night and was full blown yesterday and today..left armpit lymph nodes still swollen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workFree text: Swollen lymph nodes in left armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Muscle or body achesAdult check-in
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tirednessFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness · Headache, Fatigue or tirednessFree text: Swollen lymph nodes in left armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
- 2021-03-26
- 2021-08-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Runny/stuffy nose, gas, woozy feeling
Systemic reaction (other): Left armpit lymph nodes swollen
Systemic reaction (other): Lymph nodes in left arm swelling...light headed after working out at gym and walking up stairs.
Systemic reaction (other): Lymph nodes in my left arm still swollen
Release 2 — day 7, dose 1
Systemic reaction (other): I've had a 2 day migraine like headache....started Wednesday night and was full blown yesterday and today..left armpit lymph nodes still swollen.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes in left armpit
Systemic reaction (other): Light headed
Systemic reaction (other): Swollen lymph nodes in left arm
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 | Dizziness | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release