4GX-17453-38448
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 959 / CA
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Dose 1 — Moderna
-
2021-02-05
Registered in v-safe
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2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Paranasal sinus discomfort — Feeling: Good · Fatigue or tirednessFree text: Slight feeling of sinus pressure when bending over. Headaches have ended after 3 1/2 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Swelling — Feeling: Fair · Fever · Fatigue or tirednessFree text: Noticed almond size and shaped swelling in left neck are above clavicle, in direct line with left arm injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fatigue or tirednessFree text: 2nd day of feeling mild pain from a swollen lymph node in my neck next to my clavicle on the same side where I had an injection 5 days ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tirednessFree text: I still have a swollen lymph node on my neck above my clavicle on same side as injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-24
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2021-03-03
Dose 2 — Moderna
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2021-03-03
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-05
- 2021-03-07
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Slight feeling of sinus pressure when bending over. Headaches have ended after 3 1/2 days.
Systemic reaction (other): Noticed almond size and shaped swelling in left neck are above clavicle, in direct line with left arm injection site.
Systemic reaction (other): 2nd day of feeling mild pain from a swollen lymph node in my neck next to my clavicle on the same side where I had an injection 5 days ago.
Release 4 — day 7, dose 1
Systemic reaction (other): I still have a swollen lymph node on my neck above my clavicle on same side as injection.
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 | Headache | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release