3YZ-28471-95018
2 vaccinations
7 coded responses
25 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 044 / ME
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
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2021-01-08
Dose 1 — Moderna
- 2021-01-08
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Muscle ache centralized to injection site arm between shoulder and halfway to elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph's in neck, prominent on same side as injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Enlarged lymph nodes in neck on side of injection, tender when touchedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Enlarged lymph nodes in neck, left side same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Enlarged lymph nodes in neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Survey response — day 7, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Swollen enlarged lymph nodes on left side of neck that are tender when touchedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Survey response — day 14, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: Small rash, the size of an orange in diameter, at injection site. Rash occurred 8 days after shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
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2021-02-05
Dose 2 — Moderna
- 2021-02-05
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-07
- 2021-03-15
- 2021-03-19
- 2021-05-07
- 2021-08-06
- 2022-02-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle ache centralized to injection site arm between shoulder and halfway to elbow
Systemic reaction (other): Swollen lymph's in neck, prominent on same side as injection arm
Systemic reaction (other): Enlarged lymph nodes in neck on side of injection, tender when touched
Systemic reaction (other): Enlarged lymph nodes in neck, left side same side as injection
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Enlarged lymph nodes in neck
Release 2 — day 7, dose 1
Systemic reaction (other): Swollen enlarged lymph nodes on left side of neck that are tender when touched
Release 2 — day 14, dose 1
Symptoms: Small rash, the size of an orange in diameter, at injection site. Rash occurred 8 days after shot.
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 | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Myalgia | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release