5DR-32037-48518
4 vaccinations
12 coded responses
54 check-ins
13 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 189 / PA
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Registered in v-safe
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2021-02-05
Dose 1 — Moderna
- 2021-02-05
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2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Joint painsFree text: Axillary lymph node swelling and tenderness same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body achesFree text: Axillary lymph node swelling and tenderness on the side of injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body achesFree text: Axillary lymph node swelling and tenderness slightly lessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenitis, Lymphadenopathy — Feeling: GoodFree text: Axillary lymph nodes mild inflammation and swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Muscle or body achesFree text: Axillary lymph node swelling and tendernessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — day 7, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Muscle or body achesFree text: Mild left axillary lymph node swelling and tendernessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-10
- 2021-04-16
- 2021-06-04
- 2021-09-03
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2021-12-03
Dose 3 — Moderna
- 2021-12-03
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2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Right axillary lymph node swellingMedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · HeadacheFree text: Mild axillary lymph node tendernessMedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-03-04
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2022-06-05
Survey response — 6 months, dose 3MedDRA: Ear discomfort, Nasal congestion, Oropharyngeal pain, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend schoolFree text: Sore throat, full ears, stuffy nose, fever, achesMedDRA releases: 2024-11 · check-in free text available
- 2022-12-03
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2022-12-21
Dose 4 — Moderna
- 2022-12-21
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2022-12-22
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-12-23
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body achesFree text: L axillary and L sub clavicular lymph node swellingMedDRA releases: 2024-11 · check-in free text available
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2022-12-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, SwellingFree text: L axillary and L sub clavicular swollen nodesAdult check-in · check-in free text available
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2022-12-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: PainFree text: Mild L axillary and L sub clavicular swellingAdult check-in · check-in free text available
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2022-12-26
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral, Swelling — Feeling: GoodFree text: Mild L axillary and mild L sub clavicular swellingMedDRA releases: 2024-11 · check-in free text available
- 2022-12-28
- 2023-01-04
- 2023-01-11
- 2023-01-18
- 2023-01-25
- 2023-02-01
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2023-03-22
Survey response — 3 months, dose 4MedDRA: Cough, Nasopharyngitis, Paranasal sinus discomfort — Feeling: GoodMedDRA releases: 2024-11
- 2023-06-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
| 4 | 2022-12-21 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Axillary lymph node swelling and tenderness same side as injection
Systemic reaction (other): Axillary lymph node swelling and tenderness on the side of injection site
Systemic reaction (other): Axillary lymph node swelling and tenderness slightly less
Systemic reaction (other): Axillary lymph nodes mild inflammation and swelling
Systemic reaction (other): Axillary lymph node swelling and tenderness
Release 5 — day 7, dose 2
Systemic reaction (other): Mild left axillary lymph node swelling and tenderness
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Right axillary lymph node swelling
Systemic reaction (other): Mild axillary lymph node tenderness
Release 11 — 6 months, dose 3
Symptoms: Sore throat, full ears, stuffy nose, fever, aches
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): L axillary and L sub clavicular lymph node swelling
Systemic reaction (other): L axillary and L sub clavicular swollen nodes
Systemic reaction (other): Mild L axillary and L sub clavicular swelling
Systemic reaction (other): Mild L axillary and mild L sub clavicular swelling
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 | Cough | · | · | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenitis | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release