442-25454-69719
2 vaccinations
9 coded responses
17 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 875 / NM
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-02-04
Dose 1 — Moderna
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2021-02-12
Registered in v-safe
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2021-02-12
Health check-in — day 7, dose 1Feeling: Poor · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-18
Survey response — day 14, dose 1MedDRA: Acne — Feeling: GoodFree text: Acne by my mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
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2021-03-02
Dose 2 — Moderna
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: Swollen lymph node on the left side of my neck by my trapMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Swollen lymph node on the left side of my neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching · Headache, Fatigue or tirednessFree text: Still have swollen lymph node on left side of neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: I still have a slight swollen lymph node on the left side of my neck. It has gone down in size since the day of my vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Still have swollen lymph node on left side of neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
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2021-04-13
Survey response — day 42, dose 2MedDRA: Contusion — Feeling: GoodFree text: Easily bruisingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
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2021-08-31
Survey response — 6 months, dose 2MedDRA: Fatigue, Headache, Nasopharyngitis, Respiratory tract congestion, Somnolence — Feeling: PoorFree text: Feel as if have a cold. Congestion. Fatigue. Groggy. HeadacheMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-03-02
Survey response — 12 months, dose 2MedDRA: Menstruation irregular, Tinnitus — Feeling: PoorFree text: Irregular menstrual cycle, ringing and hearing of heart beat in left ear.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-02 | Moderna |
Free text
Release 4 — day 14, dose 1
Symptoms: Acne by my mouth
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph node on the left side of my neck by my trap
Systemic reaction (other): Swollen lymph node on the left side of my neck
Systemic reaction (other): Still have swollen lymph node on left side of neck
Systemic reaction (other): I still have a slight swollen lymph node on the left side of my neck. It has gone down in size since the day of my vaccine.
Release 5 — day 7, dose 2
Systemic reaction (other): Still have swollen lymph node on left side of neck
Release 7 — day 42, dose 2
Symptoms: Easily bruising
Release 9 — 6 months, dose 2
Symptoms: Feel as if have a cold. Congestion. Fatigue. Groggy. Headache
Release 11 — 12 months, dose 2
Symptoms: Irregular menstrual cycle, ringing and hearing of heart beat in left ear.
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 | Acne | ✓ | ✓ | ✓ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Somnolence | ✓ | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release