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5WG-15936-18383

2 vaccinations 7 coded responses 27 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
273 / NC
Registered
2021-01-06
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-06
    Registered in v-safe
  2. 2021-01-06
    Dose 1 — Moderna
  3. 2021-01-06
    Survey response — day 0, dose 1
    MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Possible numbness on the left side of my face.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Rash, not including the immediate area around the injection site
    Adult check-in
  6. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  7. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  8. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-27
    Survey response — day 21, dose 1
    MedDRA: Dysphagia, Lymphadenopathy, Tonsillar hypertrophy — Feeling: Fair
    Free text: Swollen Left lymph nodes by the left tonsil area. Makes it hard to swallow on that left side.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-03
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-04
    Dose 2 — Moderna
  15. 2021-02-04
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Swelling, Itching · Diarrhea
    Adult check-in
  16. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  17. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node close to clavicle area, same side of the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  19. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · Headache
    Adult check-in
  20. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching
    Free text: Swollen lymph node. Same side as injection. Near clavicle.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  22. 2021-02-11
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching
    Free text: Swollen left lymph node-clavicle area.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-02-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-02-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-03-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-05-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-08-07
    Survey response — 6 months, dose 2
    MedDRA: Diarrhoea, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Fair
    Free text: FeverHeadacheCongestionSore throatDiarrhea
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  30. 2022-02-04
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Gastrointestinal disorder, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: GI problems Headache Fever Congestion Sore throat COVID
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-04Moderna

Free text

Release 1 — day 0, dose 1

2021-01-06

Systemic reaction (other): Possible numbness on the left side of my face.

Release 2 — day 21, dose 1

2021-01-27

Symptoms: Swollen Left lymph nodes by the left tonsil area. Makes it hard to swallow on that left side.

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Swollen lymph node close to clavicle area, same side of the vaccine.

2021-02-09

Systemic reaction (other): Swollen lymph node. Same side as injection. Near clavicle.

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Swollen left lymph node-clavicle area.

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: FeverHeadacheCongestionSore throatDiarrhea

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: GI problems Headache Fever Congestion Sore throat COVID

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
SDCOVID-19 · · ✓
SDDiarrhoea ✓ · ✓
SDDysphagia ✓ ✓ ✓
SDGastrointestinal disorder · · ✓
SDHeadache ✓ · ✓
SDLymphadenopathy ✓ ✓ ✓
SDOropharyngeal pain ✓ · ✓
SDPyrexia ✓ · ✓
SDRespiratory tract congestion ✓ · ✓
SDTonsillar hypertrophy ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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