58F-19190-96390
3 vaccinations
6 coded responses
22 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 834 / ID
- Registered
- 2021-04-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Dose 1 — Moderna
-
2021-04-04
Registered in v-safe
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2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body achesAdult check-in
-
2021-04-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-04-06
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Very sore underarm in injection side maybe sore swollen lymph node?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-16
- 2021-04-25
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2021-04-30
Dose 2 — Moderna
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Just feel totally awfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Headache, Muscle or body achesAdult check-in
- 2021-05-06
- 2021-05-07
- 2021-05-14
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2021-05-21
Survey response — day 21, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: FairFree text: Achy lymph nosed in groin and underarms and lower backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — day 28, dose 2MedDRA: Fatigue, Pain — Feeling: GoodFree text: Achy back, tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
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2021-06-13
Survey response — day 42, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: Slight head cold; my too young to be vaccinated children got a really nasty (productive cough, fever of 101.4, no appetite, sneezing, snot bubbles, watery diarrhea bad virus) they had negative Covid tests in day 3 of their virus.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-31
- 2021-10-29
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2022-01-01
Dose 3 — Moderna
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2022-07-02
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Covid infectionMedDRA releases: 2024-11 · check-in free text available
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2022-07-02
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-05
- 2023-01-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna | |
| 3 | 2022-01-01 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Very sore underarm in injection side maybe sore swollen lymph node?
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Just feel totally awful
Release 8 — day 21, dose 2
Symptoms: Achy lymph nosed in groin and underarms and lower back
Release 8 — day 28, dose 2
Symptoms: Achy back, tired
Release 9 — day 42, dose 2
Symptoms: Slight head cold; my too young to be vaccinated children got a really nasty (productive cough, fever of 101.4, no appetite, sneezing, snot bubbles, watery diarrhea bad virus) they had negative Covid tests in day 3 of their virus.
Release 12 — 6 months, dose 3
Symptoms: Covid infection
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ○ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ○ | ○ | ○ |
| SRO | Lymphadenopathy | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release