42V-12501-67418
2 vaccinations
3 coded responses
13 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 207 / MD
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
- 2020-12-30
- 2020-12-31
-
2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Left axillary lymphnode enlarged and tenderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Left axilla lymph node enlargementMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
-
2021-01-27
Dose 2 — Moderna
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Hypersomnia, Malaise, Pain, Pyrexia, Self-medication — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: I did not receive a check in request on the day of vaccine administration on January 27, but I wanted to mention that on January 27-January 29 I had extreme bodyaches, subjective fever, and overall feeling of malaise. I took ibuprofen and slept a lot and after three days I was feeling good again. This happened after the second Moderna shot on January 27.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-10
- 2021-02-18
- 2021-02-24
- 2021-03-03
- 2021-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Left axillary lymphnode enlarged and tender
Systemic reaction (other): Left axilla lymph node enlargement
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I did not receive a check in request on the day of vaccine administration on January 27, but I wanted to mention that on January 27-January 29 I had extreme bodyaches, subjective fever, and overall feeling of malaise. I took ibuprofen and slept a lot and after three days I was feeling good again. This happened after the second Moderna shot on January 27.
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 | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release