4SU-10000-46310
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 535 / WI
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
GZF-31284-28402
Child or adolescent in my care · Male · 2022-06-28
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
-
2021-03-24
Survey response — day 0, dose 1MedDRA: Palpitations — Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaFree text: Heart palpationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-04-21
Dose 2 — Moderna
-
2021-04-21
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · 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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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Swollen lymph nodes on same side as injection - very swollen in arm pit, slightly swollen in neck and behind ear.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph nodes in neck and armpit on same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph nodes behind ear and in arm pit on same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Swollen and sore lymph nodes behind ear and armpit on same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Sore and swollen lymph nodes behind ear and armpit on same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-07
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-04
- 2021-10-20
- 2022-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Heart palpations
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes on same side as injection - very swollen in arm pit, slightly swollen in neck and behind ear.
Systemic reaction (other): Swollen lymph nodes in neck and armpit on same side as injection
Systemic reaction (other): Swollen lymph nodes behind ear and in arm pit on same side as injection
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen and sore lymph nodes behind ear and armpit on same side as injection
Systemic reaction (other): Sore and swollen lymph nodes behind ear and armpit 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 | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release