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3Z4-27946-91428

2 vaccinations 4 coded responses 15 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
943 / CA
Registered
2021-04-09
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Dose 1 — Moderna
  2. 2021-04-08
    Dose 2 — Moderna
  3. 2021-04-09
    Registered in v-safe
  4. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  6. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  7. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Mass, Swelling — Feeling: Good · Site: Redness
    Free text: I have lumps under my armpits. One of the lumps under my left (shot is on left arm) armpit was red and swollen right after the first shot and then remained red a few days after but not swollen. The same red lump became swollen last night. It is still red and swollen today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary mass, Infection — Feeling: Fair · Site: Redness
    Free text: Red infected lump/cyst under left armpit (injection side)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary mass, Erythema, Infection — Feeling: Good
    Free text: Red/infected lump under left armpit.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-15
    Survey response — day 7, dose 2
    MedDRA: Axillary mass, Erythema — Feeling: Good
    Free text: Still have the red lump under left armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-04-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): I have lumps under my armpits. One of the lumps under my left (shot is on left arm) armpit was red and swollen right after the first shot and then remained red a few days after but not swollen. The same red lump became swollen last night. It is still red and swollen today.

2021-04-13

Systemic reaction (other): Red infected lump/cyst under left armpit (injection side)

2021-04-14

Systemic reaction (other): Red/infected lump under left armpit.

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): Still have the red lump under left armpit

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

FieldPreferred term2021-092023-042024-11
SROAxillary mass ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROInfection ✓ ✓ ✓
SROMass ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release