5ZM-13377-62068
4 vaccinations
17 coded responses
51 check-ins
17 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 920 / CA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Registered in v-safe
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2021-03-08
Dose 1 — Moderna
- 2021-03-08
- 2021-03-09
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-03-29
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2021-04-06
Dose 2 — Moderna
- 2021-04-06
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Swollen Lymph nodes armpit, neck, chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Injection site rash, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Shoulder pain & rash @ injection site, Lymph nodes in armpit & Breast swollen & tenderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Itching · HeadacheFree text: Lymph nodes in armpit & chest swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, ItchingFree text: Lymph nodes still swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: GoodFree text: Lymph nodes armpit tenderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-07-06
- 2021-10-06
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2021-11-16
Dose 3 — Moderna
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2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Survey response — days 1–6 daily, dose 3MedDRA: Injection site bruising, Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: Swollen lymph nodes & noticed a bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
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2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body achesFree text: Lymph nodes swollenMedDRA releases: 2024-11 · check-in free text available
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2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Survey response — day 7, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Lymph nodes still swollen tender breastsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-22
- 2021-12-30
- 2022-02-15
- 2022-05-19
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2022-08-01
Dose 4 — Moderna
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2022-08-02
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Swollen lymph nodes in breastMedDRA releases: 2024-11 · check-in free text available
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2022-08-03
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Swollen lymph nodes in armpitMedDRA releases: 2024-11 · check-in free text available
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2022-08-04
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Swollen lymph nodes armpitMedDRA releases: 2024-11 · check-in free text available
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2022-08-06
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, SwellingFree text: Swollen lymph nodes in armpitMedDRA releases: 2024-11 · check-in free text available
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2022-08-07
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph nodes in armpitMedDRA releases: 2024-11 · check-in free text available
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2022-08-08
Survey response — day 7, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes in armpitMedDRA releases: 2024-11 · check-in free text available
- 2022-08-15
- 2022-08-22
- 2022-08-29
- 2022-09-05
- 2022-09-12
- 2022-10-31
- 2023-01-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-08-01 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen Lymph nodes armpit, neck, chest
Systemic reaction (other): Shoulder pain & rash @ injection site, Lymph nodes in armpit & Breast swollen & tender
Systemic reaction (other): Lymph nodes in armpit & chest swollen
Systemic reaction (other): Lymph nodes still swollen
Systemic reaction (other): Lymph nodes armpit tender
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Swollen lymph nodes & noticed a bruise at injection site
Systemic reaction (other): Lymph nodes swollen
Systemic reaction (other): Swollen lymph nodes
Release 10 — day 7, dose 3
Systemic reaction (other): Lymph nodes still swollen tender breasts
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph nodes in breast
Systemic reaction (other): Swollen lymph nodes in armpit
Systemic reaction (other): Swollen lymph nodes armpit
Systemic reaction (other): Swollen lymph nodes in armpit
Systemic reaction (other): Swollen lymph nodes in armpit
Release 12 — day 7, dose 4
Systemic reaction (other): Swollen lymph nodes in armpit
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release