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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

  1. 2021-03-24
    Registered in v-safe
  2. 2021-03-24
    Dose 1 — Moderna
  3. 2021-03-24
    Survey response — day 0, dose 1
    MedDRA: Palpitations — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Free text: Heart palpations
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-31
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-21
    Dose 2 — Moderna
  14. 2021-04-21
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  16. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Free 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
  17. 2021-04-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen lymph nodes in neck and armpit on same side as injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen lymph nodes behind ear and in arm pit on same side as injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Swollen and sore lymph nodes behind ear and armpit on same side as injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Sore and swollen lymph nodes behind ear and armpit on same side as injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-28
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-05-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-04-23
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna
22021-04-21Moderna

Free text

Release 6 — day 0, dose 1

2021-03-24

Systemic reaction (other): Heart palpations

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Swollen lymph nodes on same side as injection - very swollen in arm pit, slightly swollen in neck and behind ear.

2021-04-24

Systemic reaction (other): Swollen lymph nodes in neck and armpit on same side as injection

2021-04-25

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

2021-04-26

Systemic reaction (other): Swollen and sore lymph nodes behind ear and armpit on same side as injection

2021-04-27

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

FieldPreferred term2021-092023-042024-11
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release