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5PQ-22043-82178

3 vaccinations 5 coded responses 32 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
317 / GA
Registered
2021-04-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-02
    Dose 1 — Moderna
  2. 2021-04-09
    Registered in v-safe
  3. 2021-04-09
    Survey response — day 7, dose 1
    MedDRA: Chest pain, Lymph node pain, Lymphadenopathy — Feeling: Fair
    Free text: Pain and soreness from swollen nodes in armpit that radiates from armpit to top of chest that started very mildly about 2 days ago and really got worse starting yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-30
    Dose 2 — Moderna
  7. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-05-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema — Feeling: Good · Site: Pain, Redness, Itching
    Free text: A bit of redness just below the shoulder. Not sure if it's a rash, but it's only one spot so far
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  11. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  12. 2021-05-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain, Lymph node pain — Feeling: Good
    Free text: Glands underarm and toward super chest on the side of the shot is a bit sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-07
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching
    Free text: Mild gland soreness under arm and at start of chest area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-07-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-10-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-11-26
    Dose 3 — Moderna
  22. 2021-11-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abdominal pain, Flatulence — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Abdominal pain related to an increase in gas
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  24. 2021-11-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None · Be unable to do your normal daily activities
    Adult check-in
  25. 2021-11-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Itching · None
    Adult check-in
  26. 2021-12-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  27. 2021-12-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  28. 2021-12-03
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-12-10
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-31
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-01-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-02-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-05-27
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-11-26
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-02Moderna
22021-04-30Moderna
32021-11-26Moderna No

Free text

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): Pain and soreness from swollen nodes in armpit that radiates from armpit to top of chest that started very mildly about 2 days ago and really got worse starting yesterday

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): A bit of redness just below the shoulder. Not sure if it's a rash, but it's only one spot so far

2021-05-06

Systemic reaction (other): Glands underarm and toward super chest on the side of the shot is a bit sore

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): Mild gland soreness under arm and at start of chest area

Release 10 — days 1–6 daily, dose 3

2021-11-27

Systemic reaction (other): Abdominal pain related to an increase in gas

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
SROAbdominal pain · · ✓
SROChest pain ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROFlatulence · · ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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