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5NC-13477-95759

4 vaccinations 12 coded responses 48 check-ins 12 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
544 / WI
Registered
2021-01-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Dose 1 — Moderna
  2. 2021-01-29
    Registered in v-safe
  3. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-25
    Dose 2 — Moderna
  12. 2021-02-25
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache
    Adult check-in
  14. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  15. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Swelling · Abdominal pain
    Free text: I have a lymph node by my left armpit that is swollen, and tender.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Lymph nodes are still swollen, and tender
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-04
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen glands in armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-25
    Dose 3 — Moderna
  28. 2021-10-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dyspnoea exertional — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Just a little short of breathing when exercising.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dyspnoea exertional — Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: I'm a little short of breath when exercising.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  32. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  34. 2021-11-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-25
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-04-14
    Dose 4 — Moderna
  42. 2022-04-18
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Muscle or body aches
    Free text: Very swollen lymph node under my arm.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-04-19
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Good · Headache
    Free text: Lymph node under my arm is still quite irritated.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-04-20
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Lymph nodes under my arm are still swollen and tender.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-04-21
    Survey response — day 7, dose 4
    MedDRA: Lymphadenopathy — Feeling: Good · Headache
    Free text: Swollen lymph node
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-04-28
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-05-05
    Survey response — day 21, dose 4
    MedDRA: Headache — Feeling: Poor
    Free text: I have had a headache for the past four days.
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-05-12
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-05-19
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  50. 2022-05-26
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-07-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-10-13
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  53. 2023-04-14
    Health check-in — 12 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna
32021-10-25Moderna No
42022-04-14Moderna No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): I have a lymph node by my left armpit that is swollen, and tender.

2021-03-01

Systemic reaction (other): Swollen lymph nodes

2021-03-02

Systemic reaction (other): Lymph nodes are still swollen, and tender

2021-03-03

Systemic reaction (other): Swollen lymph nodes

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): Swollen glands in armpit

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): Just a little short of breathing when exercising.

2021-10-27

Systemic reaction (other): I'm a little short of breath when exercising.

Release 11 — days 1–6 daily, dose 4

2022-04-18

Systemic reaction (other): Very swollen lymph node under my arm.

2022-04-19

Systemic reaction (other): Lymph node under my arm is still quite irritated.

2022-04-20

Systemic reaction (other): Lymph nodes under my arm are still swollen and tender.

Release 11 — day 7, dose 4

2022-04-21

Systemic reaction (other): Swollen lymph node

Release 11 — day 21, dose 4

2022-05-05

Symptoms: I have had a headache for the past four days.

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
SDHeadache · · ✓
SRODyspnoea exertional · · ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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