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
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2021-01-06
Registered in v-safe
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2021-01-06
Dose 1 — Moderna
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2021-01-06
Survey response — day 0, dose 1MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Possible numbness on the left side of my face.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
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2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Rash, not including the immediate area around the injection siteAdult check-in
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2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-21
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2021-01-27
Survey response — day 21, dose 1MedDRA: Dysphagia, Lymphadenopathy, Tonsillar hypertrophy — Feeling: FairFree 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
- 2021-02-03
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2021-02-04
Dose 2 — Moderna
- 2021-02-04
- 2021-02-05
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree 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
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · HeadacheAdult check-in
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: ItchingFree text: Swollen lymph node. Same side as injection. Near clavicle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
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2021-02-11
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: ItchingFree text: Swollen left lymph node-clavicle area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
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2021-08-07
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: FairFree text: FeverHeadacheCongestionSore throatDiarrheaMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-04
Survey response — 12 months, dose 2MedDRA: 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 activitiesFree text: GI problems Headache Fever Congestion Sore throat COVIDMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Possible numbness on the left side of my face.
Release 2 — day 21, dose 1
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
Systemic reaction (other): Swollen lymph node close to clavicle area, same side of the vaccine.
Systemic reaction (other): Swollen lymph node. Same side as injection. Near clavicle.
Release 4 — day 7, dose 2
Systemic reaction (other): Swollen left lymph node-clavicle area.
Release 9 — 6 months, dose 2
Symptoms: FeverHeadacheCongestionSore throatDiarrhea
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Dysphagia | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Tonsillar hypertrophy | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release