56A-26765-38081
4 vaccinations
10 coded responses
52 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 498 / MI
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
39V-30344-50179
Child or adolescent in my care · Male · 2021-07-08
JGX-32088-78259
Child or adolescent in my care · Female · 2021-07-13
Timeline
-
2021-04-16
Registered in v-safe
-
2021-04-16
Dose 1 — Moderna
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
-
2021-04-21
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: Soreness in armpit area in the arm I got the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: Soreness under armpit in injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Survey response — day 7, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: Soreness in armpit area on side where injection happenedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Survey response — day 14, dose 1MedDRA: Injection site bruising, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: GoodFree text: On day 8 & 9 injection shot area was all red, swollen and hot to touch. After that it turned into a bruise.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
-
2021-05-14
Dose 2 — Moderna
- 2021-05-14
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · DiarrheaAdult check-in
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-08-13
- 2021-11-12
-
2021-12-11
Dose 3 — Moderna
-
2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Abdominal painAdult check-in
-
2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, SwellingFree text: Lymph nodes in armpit area are swollenMedDRA releases: 2024-11 · check-in free text available
-
2021-12-14
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, SwellingFree text: Swelling in lymph nodes in armpit areaMedDRA releases: 2024-11 · check-in free text available
-
2021-12-15
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, SwellingFree text: Swelling in lymph nodes under armpitMedDRA releases: 2024-11 · check-in free text available
-
2021-12-16
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, SwellingFree text: Lymph nodes under armpit swollenMedDRA releases: 2024-11 · check-in free text available
-
2021-12-17
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Chills, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-12-18
- 2021-12-26
- 2022-01-02
- 2022-01-08
- 2022-01-16
- 2022-01-22
- 2022-03-12
-
2022-05-21
Dose 4 — Moderna
- 2022-05-21
- 2022-05-22
-
2022-05-23
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain — Feeling: Good · Site: Pain, Redness, SwellingFree text: Pain in armpit areaMedDRA releases: 2024-11 · check-in free text available
-
2022-05-24
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain — Feeling: Good · Site: Pain, SwellingFree text: Pain under armpitMedDRA releases: 2024-11 · check-in free text available
- 2022-05-25
- 2022-05-26
- 2022-05-28
- 2022-06-04
- 2022-06-11
- 2022-06-18
- 2022-06-25
- 2022-07-02
- 2022-08-20
- 2022-11-19
- 2023-05-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-14 | Moderna | |
| 3 | 2021-12-11 | Moderna | No |
| 4 | 2022-05-21 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness in armpit area in the arm I got the injection
Systemic reaction (other): Soreness under armpit in injection arm
Release 7 — day 7, dose 1
Systemic reaction (other): Soreness in armpit area on side where injection happened
Release 8 — day 14, dose 1
Symptoms: On day 8 & 9 injection shot area was all red, swollen and hot to touch. After that it turned into a bruise.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lymph nodes in armpit area are swollen
Systemic reaction (other): Swelling in lymph nodes in armpit area
Systemic reaction (other): Swelling in lymph nodes under armpit
Systemic reaction (other): Lymph nodes under armpit swollen
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Pain in armpit area
Systemic reaction (other): Pain under 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 | Injection site bruising | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ○ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release