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5PA-27709-43671

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
894 / NV
Registered
2021-04-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Registered in v-safe
  2. 2021-04-06
    Dose 1 — Moderna
  3. 2021-04-06
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness
    Adult check-in
  4. 2021-04-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abnormal dreams, Glossodynia, Sleep disorder — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Vivid dreams (hard to get good rest at night and during the day), and under tongue pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abnormal dreams — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Vivid dreams
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-04-15
    Survey response — day 7, dose 1
    MedDRA: Breast tenderness, Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen lymph node on collarbone (same side as injection). Size of a marble and is tender. This showed up this morning (9 days after my 1st vaccine dose). Along with, breast tenderness for two days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-20
    Survey response — day 14, dose 1
    MedDRA: Heavy menstrual bleeding, Lymph node pain, Lymphadenopathy, Menstruation delayed, Polymenorrhoea — Feeling: Good
    Free text: Enlarged (size of grapes) tender lymph nodes by my collarbone on the same side of injection. Delayed menstruated cycle by 3 days, with a heavier than normal flow for first day and shortened duration of cycle by 2 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-29
    Survey response — day 21, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Lymph node on collar bone is still enlarged and tender.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-04
    Dose 2 — Moderna
  12. 2021-05-04
    Survey response — day 0, dose 2
    MedDRA: Eye pain, Photophobia — Feeling: Good · Site: Pain · Fever
    Free text: Eyes are mildly sensitive to light and movement.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  14. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  15. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  16. 2021-05-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Extremely enlarged lymph nodes along collarbone and tender. Same side as vaccine injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy, Paraesthesia — Feeling: Good · Chills, Muscle or body aches
    Free text: Lymph nodes still very swollen. Tingling in hand and arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Lymph nodes at collarbone are very swollen and enlarged and tender (still).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-11
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness
    Free text: Swollen lymph nodes along collarbone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Moderna
22021-05-04Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Vivid dreams (hard to get good rest at night and during the day), and under tongue pain

2021-04-08

Systemic reaction (other): Vivid dreams

Release 7 — day 7, dose 1

2021-04-15

Systemic reaction (other): Swollen lymph node on collarbone (same side as injection). Size of a marble and is tender. This showed up this morning (9 days after my 1st vaccine dose). Along with, breast tenderness for two days.

Release 7 — day 14, dose 1

2021-04-20

Symptoms: Enlarged (size of grapes) tender lymph nodes by my collarbone on the same side of injection. Delayed menstruated cycle by 3 days, with a heavier than normal flow for first day and shortened duration of cycle by 2 days.

Release 8 — day 21, dose 1

2021-04-29

Symptoms: Lymph node on collar bone is still enlarged and tender.

Release 8 — day 0, dose 2

2021-05-04

Systemic reaction (other): Eyes are mildly sensitive to light and movement.

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Extremely enlarged lymph nodes along collarbone and tender. Same side as vaccine injection.

2021-05-09

Systemic reaction (other): Lymph nodes still very swollen. Tingling in hand and arm.

2021-05-10

Systemic reaction (other): Lymph nodes at collarbone are very swollen and enlarged and tender (still).

Release 8 — day 7, dose 2

2021-05-11

Systemic reaction (other): Swollen lymph nodes along 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
SDHeavy menstrual bleeding ✓ ✓ ✓
SDLymph node pain ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDMenstruation delayed ✓ ✓ ✓
SDPolymenorrhoea · · ✓
SROAbnormal dreams ✓ ✓ ✓
SROBreast tenderness ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROGlossodynia ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPhotophobia ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓

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