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62H-44668-22485

2 vaccinations 6 coded responses 13 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
040 / ME
Registered
2021-02-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-02-20
    Dose 2 — Moderna
  3. 2021-02-21
    Registered in v-safe
  4. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Elevated resting heart rate.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Injection site pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching
    Free text: Along with the injection site, its painful to touch under my arm/axillary lymph node area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Redness
    Free text: Painful to press on axillary lymph node area and area near collar bone. Same side of injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain — Feeling: Good · Site: Pain
    Free text: Tender to the touch: axillary lymph node and over collar bone on side of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tenderness — Feeling: Good · Site: Pain
    Free text: Tender to touch above collar bone on side of injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-21
    Survey response — day 28, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen axillary lymph node on opposite side of injection. Went away within 4 days. Previously, lymph on the side of injection was swollen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-08-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2022-02-22
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-20Moderna

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Elevated resting heart rate.

2021-02-23

Systemic reaction (other): Along with the injection site, its painful to touch under my arm/axillary lymph node area

2021-02-24

Systemic reaction (other): Painful to press on axillary lymph node area and area near collar bone. Same side of injection site.

2021-02-25

Systemic reaction (other): Tender to the touch: axillary lymph node and over collar bone on side of injection

2021-02-26

Systemic reaction (other): Tender to touch above collar bone on side of injection site

Release 6 — day 28, dose 2

2021-03-21

Symptoms: Swollen axillary lymph node on opposite side of injection. Went away within 4 days. Previously, lymph on the side of injection was swollen.

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
SDLymphadenopathy ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

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