4DN-14599-25294
4 vaccinations
10 coded responses
27 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 060 / CT
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-02
Registered in v-safe
-
2021-03-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Swelling — Feeling: Good · Site: Pain, Swelling · FeverFree text: all pain and swelling VERY mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-10
-
2021-03-29
Dose 2 — Moderna
- 2021-03-29
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tirednessFree text: Swollen lymoh nodes in armpit of shot armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, ItchingFree text: swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-27
-
2021-11-03
Dose 3 — Moderna
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Good · Site: Swelling, Itching · Fatigue or tirednessFree text: Moderate Pain in my armpit...same arm as shot was givenMedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Injection site erythema, Oedema peripheral — Feeling: Good · Site: Redness, Swelling, ItchingFree text: swelling and pain in armpit of arm vaxxed and I forgot to put redness at injection site previously this weekMedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Axillary mass, Tenderness — Feeling: Good · Site: Swelling, ItchingFree text: tender lumps under arm in armpitMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Axillary mass, Axillary pain — Feeling: Good · Site: Swelling, ItchingFree text: still a small lump under armpit but it has gotten MUCH smaller and barely hurtsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
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2022-02-02
Survey response — 3 months, dose 3MedDRA: Colitis, Headache, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: colitis headache · Healthcare visit (other): went to doctor's officeMedDRA releases: 2024-11 · check-in free text available
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2022-02-02
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-04
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2022-04-20
Dose 4 — Moderna
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2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: Enlarged lymph nodesMedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): all pain and swelling VERY mild
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymoh nodes in armpit of shot arm
Systemic reaction (other): swollen lymph nodes
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Moderate Pain in my armpit...same arm as shot was given
Systemic reaction (other): swelling and pain in armpit of arm vaxxed and I forgot to put redness at injection site previously this week
Systemic reaction (other): tender lumps under arm in armpit
Systemic reaction (other): still a small lump under armpit but it has gotten MUCH smaller and barely hurts
Release 11 — 3 months, dose 3
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Enlarged lymph nodes
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Colitis | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SRO | Axillary mass | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release