59D-11139-79458
3 vaccinations
6 coded responses
28 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 480 / MI
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-25
Dose 1 — Moderna
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2021-03-20
Registered in v-safe
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2021-03-20
Survey response — day 21, dose 1MedDRA: Axillary pain, Chest pain, Fatigue, Somnolence, Tenderness — Feeling: GoodFree text: Starting second week, I started being tired. I would say 3-4 days in that week I napped. Also, at third week after, I had some tenderness on right side. (Shot was in left arm) Lasted two days. Pain from center of chest to under arm. (Lymph nodes?)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Dose 2 — Moderna
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2021-03-25
Survey response — day 0, dose 2MedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: Lymph nodes on right side hurt. (Very mild) Shot was on left sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Hunger, Middle insomnia, Photophobia, Somnolence — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Last night kept waking up, now today cant stay awake. Light sensitive. Felt hungry, but then only ate a little bitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Loss of personal independence in daily activities — Feeling: Good · Fatigue or tirednessFree text: Not too tired, just not back to normal. Took a walk and only walked two blocks. Normally walk two milesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Chest pain, Lymph node pain, Pollakiuria — Feeling: GoodFree text: I have slight ache across my chest, to armpits. (Lymph nodes) Pain comes and goes and very mild. Also, I wanted to mention - the second day after my vaccine, when I felt the worst - I had to urinate every hour to hour and a half. Not sure if this was a side effect that anyone else may have had. The next day, I was back to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: GoodFree text: Still have lymph nodes slight pain (comes and goes)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-06-24
- 2021-09-23
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2021-10-25
Dose 3 — Moderna
- 2021-10-25
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2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-25 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
Free text
Release 6 — day 21, dose 1
Symptoms: Starting second week, I started being tired. I would say 3-4 days in that week I napped. Also, at third week after, I had some tenderness on right side. (Shot was in left arm) Lasted two days. Pain from center of chest to under arm. (Lymph nodes?)
Release 6 — day 0, dose 2
Systemic reaction (other): Lymph nodes on right side hurt. (Very mild) Shot was on left side
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Last night kept waking up, now today cant stay awake. Light sensitive. Felt hungry, but then only ate a little bit
Systemic reaction (other): Not too tired, just not back to normal. Took a walk and only walked two blocks. Normally walk two miles
Systemic reaction (other): I have slight ache across my chest, to armpits. (Lymph nodes) Pain comes and goes and very mild. Also, I wanted to mention - the second day after my vaccine, when I felt the worst - I had to urinate every hour to hour and a half. Not sure if this was a side effect that anyone else may have had. The next day, I was back to normal.
Systemic reaction (other): Still have lymph nodes slight pain (comes and goes)
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 pain | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hunger | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Middle insomnia | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release