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5NW-21162-64811

4 vaccinations 17 coded responses 41 check-ins 17 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
368 / AL
Registered
2021-01-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Registered in v-safe
  2. 2021-01-14
    Dose 1 — Moderna
  3. 2021-01-14
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  5. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-21
    Survey response — day 7, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph nodes near collarbone on the left side (injection was in left arm)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-11
    Dose 2 — Moderna
  10. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Swollen/sore lymph nodes near collarbone on side of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Diarrhea
    Free text: Swelling/pain in lymph nodes near collarbone on side of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Supraclavicular fossa pain — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Diarrhea
    Free text: Swollen lymph nodes on left collarbone still present, but seem slightly less swollen & are less painful today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-18
    Survey response — day 7, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph nodes above left collarbone, but not as swollen/painful as in days before
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-10-23
    Dose 3 — Moderna
  20. 2021-10-25
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling
    Free text: Swollen lymph node on collarbone that aches
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: Swollen lymph node on collarbone that is sore to the touch, but not as sore as yesterday.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Redness, Swelling
    Free text: Swollen lymph node on collarbone that's sore to the touch.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node on collarbone that is sore to the touch.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-10-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node on collarbone, not quite as sore today.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-10-30
    Survey response — day 7, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node on collarbone
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-11-20
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  29. 2021-11-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-01-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-09-16
    Dose 4 — Moderna
  34. 2022-09-18
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Swollen lymph node on collarbone
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-09-19
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node on collarbone
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-09-20
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node on collarbone
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-09-21
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node on collarbone
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-09-22
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node on collarbone
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-09-23
    Survey response — day 7, dose 4
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node on collarbone
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-09-30
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-10-07
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-10-14
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-10-21
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-10-28
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-12-16
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  46. 2023-03-17
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-11Moderna
32021-10-23Moderna No
42022-09-16Moderna No

Free text

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Swollen lymph nodes near collarbone on the left side (injection was in left arm)

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Swollen/sore lymph nodes near collarbone on side of injection

2021-02-13

Systemic reaction (other): Swelling/pain in lymph nodes near collarbone on side of injection

2021-02-14

Systemic reaction (other): Swollen lymph nodes on left collarbone still present, but seem slightly less swollen & are less painful today.

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Swollen lymph nodes above left collarbone, but not as swollen/painful as in days before

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): Swollen lymph node on collarbone that aches

2021-10-26

Systemic reaction (other): Swollen lymph node on collarbone that is sore to the touch, but not as sore as yesterday.

2021-10-27

Systemic reaction (other): Swollen lymph node on collarbone that's sore to the touch.

2021-10-28

Systemic reaction (other): Swollen lymph node on collarbone that is sore to the touch.

2021-10-29

Systemic reaction (other): Swollen lymph node on collarbone, not quite as sore today.

Release 10 — day 7, dose 3

2021-10-30

Systemic reaction (other): Swollen lymph node on collarbone

Release 12 — days 1–6 daily, dose 4

2022-09-18

Systemic reaction (other): Swollen lymph node on collarbone

2022-09-19

Systemic reaction (other): Swollen lymph node on collarbone

2022-09-20

Systemic reaction (other): Swollen lymph node on collarbone

2022-09-21

Systemic reaction (other): Swollen lymph node on collarbone

2022-09-22

Systemic reaction (other): Swollen lymph node on collarbone

Release 12 — day 7, dose 4

2022-09-23

Systemic reaction (other): Swollen lymph node on collarbone

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
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROSupraclavicular fossa pain ✓ ✓ ✓

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

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