43U-12497-47989
3 vaccinations
5 coded responses
23 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 501 / IA
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2TY-18367-99200
Child or adolescent in my care · Male · 2021-12-17
Timeline
-
2021-02-11
Dose 1 — Moderna
-
2021-03-12
Dose 2 — Moderna
-
2021-03-13
Registered in v-safe
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2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-28
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-06-13
- 2021-09-12
-
2021-12-16
Dose 3 — Moderna
-
2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Rash, Rash erythematous, Skin warm — Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Swollen lymph nodes near collarbone and red rash on front shoulder area/under collarbone; feels warm to touchMedDRA releases: 2024-11 · check-in free text available
-
2021-12-20
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Rash — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Rash on chest is starting to resolve at day 4; still have some swelling in lymph nodes near clavicleMedDRA releases: 2024-11 · check-in free text available
-
2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Minor swelling remains around lymph nodes near collarboneMedDRA releases: 2024-11 · check-in free text available
- 2021-12-23
- 2021-12-31
-
2022-01-13
Survey response — day 28, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: I had reoccurrence of some swelling and tenderness in my lymph nodes near my collarbone. It has since resolved.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-20
- 2022-01-27
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2022-06-18
Survey response — 6 months, dose 3MedDRA: Cough, Heavy menstrual bleeding, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: FairFree text: Longer and heavier menatrual cycles; also an upper respiratory cold that started two weeks ago. Just getting over the cough now. COVID negative on home test.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes near collarbone and red rash on front shoulder area/under collarbone; feels warm to touch
Systemic reaction (other): Rash on chest is starting to resolve at day 4; still have some swelling in lymph nodes near clavicle
Systemic reaction (other): Minor swelling remains around lymph nodes near collarbone
Release 10 — day 28, dose 3
Symptoms: I had reoccurrence of some swelling and tenderness in my lymph nodes near my collarbone. It has since resolved.
Release 12 — 6 months, dose 3
Symptoms: Longer and heavier menatrual cycles; also an upper respiratory cold that started two weeks ago. Just getting over the cough now. COVID negative on home test.
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 | Cough | · | · | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Rash erythematous | · | · | ✓ |
| SRO | Skin warm | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release