4MC-91994-04881
2 vaccinations
7 coded responses
22 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 782 / TX
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Moderna
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-10
- 2021-04-11
- 2021-04-15
-
2021-04-20
Survey response — day 14, dose 1MedDRA: Erythema, Lymphadenopathy, Peripheral swelling, Rash — Feeling: GoodFree text: Yes, I got a little rash on the arm where the shot took place. It was pink/red and raised slightly. It lasted for about 3-4 days then disappeared. It didnt itch much. I also noticed a lymph node lump in my armpit (same arm as shot) size of a walnuMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Survey response — day 21, dose 1MedDRA: Asthenia, Dyspnoea, Headache, Nasopharyngitis, Oropharyngeal pain — Feeling: GoodFree text: I had a cold, sore throat, drained of energy, hard to breath, and a headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Dose 2 — Moderna
-
2021-05-04
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness, NauseaFree text: Swollen lymph nodes in armpit (same arm as injection)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Lymphadenopathy, Rash erythematous — Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessFree text: Lymph node in armpit is swollen, and I have the modern a rash that is red and warm to the touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Still have a swollen lymph node in my armpit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Lymph node still swollen in the same arm as injection .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node in armpit, same arm as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-08-03
- 2021-11-02
- 2022-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna |
Free text
Release 7 — day 14, dose 1
Symptoms: Yes, I got a little rash on the arm where the shot took place. It was pink/red and raised slightly. It lasted for about 3-4 days then disappeared. It didnt itch much. I also noticed a lymph node lump in my armpit (same arm as shot) size of a walnu
Release 8 — day 21, dose 1
Symptoms: I had a cold, sore throat, drained of energy, hard to breath, and a headache.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes in armpit (same arm as injection)
Systemic reaction (other): Lymph node in armpit is swollen, and I have the modern a rash that is red and warm to the touch.
Systemic reaction (other): Still have a swollen lymph node in my armpit.
Systemic reaction (other): Lymph node still swollen in the same arm as injection .
Release 8 — day 7, dose 2
Systemic reaction (other): Swollen lymph node in armpit, same arm 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 |
|---|---|---|---|---|
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release