5NV-24099-85968
3 vaccinations
4 coded responses
17 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 212 / MD
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Dose 1 — Moderna
-
2021-02-18
Registered in v-safe
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Immediate post-injection reaction — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: At the time of vaccination, about, 10 minutes later, I got a sudden rush of heat in my face and my cheeks turned bright red. I later (approximately 90 minutes - 2 hours) noticed a pinpoint rash on my chest. It all eventually subsided. I had a moderate headache that evening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tirednessFree text: Mild sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-22
-
2021-02-23
Health check-in — day 7, dose 1Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-02
- 2021-03-09
-
2021-03-16
Dose 2 — Moderna
-
2021-03-23
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body achesAdult check-in
- 2021-03-30
- 2021-04-06
- 2021-04-14
- 2021-04-20
-
2021-06-15
Survey response — 3 months, dose 2MedDRA: Atrial fibrillation — Feeling: FairFree text: Bouts of afib in my EKGMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-16
-
2021-11-10
Dose 3 — Moderna
- 2022-03-18
-
2022-05-11
Survey response — 6 months, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I forgot to mention the left axillary node swelling and tenderness that occurred after my booster. It was very painful for about two weeks. My booster was administered in my left deltoid.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): At the time of vaccination, about, 10 minutes later, I got a sudden rush of heat in my face and my cheeks turned bright red. I later (approximately 90 minutes - 2 hours) noticed a pinpoint rash on my chest. It all eventually subsided. I had a moderate headache that evening.
Systemic reaction (other): Mild sore throat
Release 9 — 3 months, dose 2
Symptoms: Bouts of afib in my EKG
Release 11 — 6 months, dose 3
Symptoms: I forgot to mention the left axillary node swelling and tenderness that occurred after my booster. It was very painful for about two weeks. My booster was administered in my left deltoid.
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 | Atrial fibrillation | ✓ | ✓ | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release