484-14293-72556
3 vaccinations
5 coded responses
31 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 606 / IL
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-02
Dose 1 — Moderna
-
2021-01-05
Registered in v-safe
- 2021-01-05
- 2021-01-06
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Lymphadenopathy, Tenderness — Feeling: GoodFree text: Mild pain with use and tenderness to palpate at left anterior axillary fold (ipsilateral of injection site), may represent mild axillary lymphadenopathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Day 2 of mild left axillary lymphadenopathy, ipsilateral side of injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Day 3 left axillary lymphadenopathy, ipsilateral side of injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-18
- 2021-01-23
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2021-01-30
Dose 2 — Moderna
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Ipsilateral axillary lymphadenopathy since one day post injection. Initially moderate but now mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-05-01
- 2021-07-31
-
2021-11-05
Dose 3 — Moderna
-
2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Myalgia — Feeling: Good · Site: Pain, SwellingFree text: Fatigue and myalgias began 16 hrs after booster. Ended by 48 hrsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
- 2022-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Mild pain with use and tenderness to palpate at left anterior axillary fold (ipsilateral of injection site), may represent mild axillary lymphadenopathy
Systemic reaction (other): Day 2 of mild left axillary lymphadenopathy, ipsilateral side of injection site
Release 1 — day 7, dose 1
Systemic reaction (other): Day 3 left axillary lymphadenopathy, ipsilateral side of injection site
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Ipsilateral axillary lymphadenopathy since one day post injection. Initially moderate but now mild.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Fatigue and myalgias began 16 hrs after booster. Ended by 48 hrs
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 | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release