4V5-74073-44722
4 vaccinations
9 coded responses
40 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 871 / NM
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-03-12
Registered in v-safe
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Fatigue, Headache — Feeling: Good · Site: Pain · Chills, HeadacheFree text: I felt mildly tired and had headache and chills yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
-
2021-04-08
Dose 2 — Moderna
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Enlarged lymph node in arm pit under injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
- 2021-04-11
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node under injection arm is much betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Lymph node under arm continuing to ShrinkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-07
- 2021-05-15
- 2021-05-20
- 2021-07-08
- 2021-10-07
-
2021-10-24
Dose 3 — Moderna
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: RednessFree text: Axillary lymph nodes and collarbone lymph nodes enlarged and soreMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: RednessFree text: Lympnofes still enlarged and tender around collarbone and under injection armMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Lymph nodes still enlarged but better than yesterdayMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Lymph nodes steadily decreasing in size and tendernessMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — day 7, dose 3MedDRA: Therapeutic response unexpected — Feeling: GoodFree text: Lymph nodes decreasing in sizeMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
-
2022-04-01
Dose 4 — Moderna
- 2022-04-16
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-07-01
- 2022-09-30
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I felt mildly tired and had headache and chills yesterday
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Enlarged lymph node in arm pit under injection arm
Systemic reaction (other): Swollen lymph node under injection arm is much better
Systemic reaction (other): Lymph node under arm continuing to Shrink
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Axillary lymph nodes and collarbone lymph nodes enlarged and sore
Systemic reaction (other): Lympnofes still enlarged and tender around collarbone and under injection arm
Systemic reaction (other): Lymph nodes still enlarged but better than yesterday
Systemic reaction (other): Lymph nodes steadily decreasing in size and tenderness
Release 10 — day 7, dose 3
Systemic reaction (other): Lymph nodes decreasing in size
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 | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release