62X-17574-14915
4 vaccinations
13 coded responses
52 check-ins
13 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 117 / NY
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
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2020-12-31
Registered in v-safe
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2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-13
- 2021-01-20
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2021-01-27
Dose 2 — Moderna
- 2021-01-27
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
- 2021-07-28
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2021-12-05
Dose 3 — Moderna
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2021-12-05
Survey response — day 0, dose 3MedDRA: Dizziness — Feeling: Good · Site: PainFree text: Slight dizziness, intermittent for the first 4 hours post shot todayMedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painFree text: Swelling and pain adjacent to left axilla, near bra strap where it meets the bra cup.MedDRA releases: 2024-11 · check-in free text available
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2021-12-07
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body achesFree text: Left axilla swollen lymph nodes and painMedDRA releases: 2024-11 · check-in free text available
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2021-12-08
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Painful swollen lymph nodes under my left armMedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Lymphadenopathy — Feeling: GoodFree text: Continued pain and swollen under left arm lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Left underarm lymph node swelling and pain not improvingMedDRA releases: 2024-11 · check-in free text available
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2021-12-11
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Improving swollen lymph nodes under left axilla, pain also improving at this siteMedDRA releases: 2024-11 · check-in free text available
- 2021-12-12
- 2021-12-19
- 2021-12-26
- 2022-01-02
- 2022-01-09
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2022-01-16
Survey response — day 42, dose 3MedDRA: Limb discomfort, Lymph node pain, Lymphadenopathy, Pain — Feeling: FairFree text: Left under arm with intermittent shooting stabbing pains.. lymph nodes not as enlarged but painfulMedDRA releases: 2024-11 · check-in free text available
- 2022-03-06
- 2022-06-05
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2022-10-23
Dose 4 — Moderna
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2022-10-24
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2022-10-25
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Left Axillary pain.. moderate pain, worse than yesterdayMedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: PainFree text: Left Axillary lymph nodes swelling and painMedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: PainFree text: Pain in left Axillary and swollen lymph nodes under my stem (Axilla) same arm as injection siteMedDRA releases: 2024-11 · check-in free text available
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2022-10-29
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain, Lymphadenopathy — Feeling: GoodFree text: Continued under arm pain, swollen lymph nodes in arm that received the vaccineMedDRA releases: 2024-11 · check-in free text available
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2022-10-30
Survey response — day 7, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Still have underarm pain and swollen lymph nodes, same arm as injection wasMedDRA releases: 2024-11 · check-in free text available
- 2022-11-06
- 2022-11-13
- 2022-11-20
- 2022-11-27
- 2022-12-04
- 2023-01-22
- 2023-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-12-05 | Moderna | No |
| 4 | 2022-10-23 | Moderna | No |
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): Slight dizziness, intermittent for the first 4 hours post shot today
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling and pain adjacent to left axilla, near bra strap where it meets the bra cup.
Systemic reaction (other): Left axilla swollen lymph nodes and pain
Systemic reaction (other): Painful swollen lymph nodes under my left arm
Systemic reaction (other): Continued pain and swollen under left arm lymph nodes
Systemic reaction (other): Left underarm lymph node swelling and pain not improving
Systemic reaction (other): Improving swollen lymph nodes under left axilla, pain also improving at this site
Release 10 — day 42, dose 3
Symptoms: Left under arm with intermittent shooting stabbing pains.. lymph nodes not as enlarged but painful
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Left Axillary pain.. moderate pain, worse than yesterday
Systemic reaction (other): Left Axillary lymph nodes swelling and pain
Systemic reaction (other): Pain in left Axillary and swollen lymph nodes under my stem (Axilla) same arm as injection site
Systemic reaction (other): Continued under arm pain, swollen lymph nodes in arm that received the vaccine
Release 12 — day 7, dose 4
Systemic reaction (other): Still have underarm pain and swollen lymph nodes, same arm as injection was
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 | Limb discomfort | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release