4ZB-46433-90788
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 850 / AZ
- Registered
- 2021-08-19
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-19
Registered in v-safe
-
2021-08-19
Dose 1 — Moderna
-
2021-08-20
Survey response — days 1–6 daily, dose 1MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Site: PainFree text: Feel like acid refluxMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-21
- 2021-08-22
- 2021-08-23
- 2021-08-24
- 2021-08-25
-
2021-08-28
Survey response — day 7, dose 1MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Fatigue or tirednessFree text: esophageal reflux yesterday nightMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-02
- 2021-09-10
-
2021-09-16
Dose 2 — Moderna
-
2021-09-16
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: FairFree text: Little bit of dizzinessMedDRA releases: 2024-11 · check-in free text available
- 2021-09-17
- 2021-09-18
- 2021-09-19
- 2021-09-20
- 2021-09-21
- 2021-09-22
- 2021-09-23
- 2021-09-30
- 2021-10-07
- 2021-10-14
-
2021-10-23
Survey response — day 35, dose 2MedDRA: Axillary mass — Feeling: FairFree text: I have found a thumb nail size lump in my left armpit. I had my vaccine on my left arm.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Survey response — day 42, dose 2MedDRA: Axillary mass — Feeling: GoodFree text: A new thumnail size lump in my left armpit.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-16
- 2022-09-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-19 | Moderna | No |
| 2 | 2021-09-16 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Feel like acid reflux
Release 9 — day 7, dose 1
Systemic reaction (other): esophageal reflux yesterday night
Release 9 — day 0, dose 2
Systemic reaction (other): Little bit of dizziness
Release 10 — day 35, dose 2
Symptoms: I have found a thumb nail size lump in my left armpit. I had my vaccine on my left arm.
Release 10 — day 42, dose 2
Symptoms: A new thumnail size lump in my left armpit.
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 | Axillary mass | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release