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57G-75809-40507

3 vaccinations 7 coded responses 28 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
410 / KY
Registered
2021-03-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Registered in v-safe
  2. 2021-03-06
    Dose 1 — Moderna
  3. 2021-03-06
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  5. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Neck mass — Feeling: Fair · Site: Pain
    Free text: A lump appeared on the left side my neck. The injection for the vaccine was given in my left arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Neck mass — Feeling: Good
    Free text: There is still a lump on the left side of neck.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Neck mass, Swelling — Feeling: Good
    Free text: Still have a lump on the left side of my neck.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Neck mass — Feeling: Good
    Free text: There is still a lump on the left side of my neck.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-13
    Survey response — day 7, dose 1
    MedDRA: Neck mass — Feeling: Good
    Free text: The lump on the left side of my neck has begun to reduce in size, although it is still present.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-05
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-09
    Dose 2 — Moderna
  15. 2021-04-09
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache
    Free text: A small lump has appeared on the left side of my neck.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache
    Adult check-in
  19. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  20. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  21. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-04-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-14
    Survey response — day 35, dose 2
    MedDRA: Ear pain, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Pain in left ear and vomiting.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-05-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-01-08
    Dose 3 — Pfizer-BioNTech
  31. 2022-04-09
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2023-01-09
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Moderna
22021-04-09Moderna
32022-01-08Pfizer-BioNTech No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): A lump appeared on the left side my neck. The injection for the vaccine was given in my left arm.

2021-03-10

Systemic reaction (other): There is still a lump on the left side of neck.

2021-03-11

Systemic reaction (other): Still have a lump on the left side of my neck.

2021-03-12

Systemic reaction (other): There is still a lump on the left side of my neck.

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): The lump on the left side of my neck has begun to reduce in size, although it is still present.

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): A small lump has appeared on the left side of my neck.

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Pain in left ear and vomiting.

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
SDEar pain ✓ ✓ ✓
SDVomiting ✓ ✓ ✓
SRONeck mass ✓ ✓ ✓
SROSwelling ✓ ✓ ○
SROUnevaluable event ✓ ✓ ✓

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

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