64X-17945-49562
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 549 / WI
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Moderna
-
2021-03-04
Registered in v-safe
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Oedema peripheral — Feeling: GoodFree text: Pain in armpit under arm that received injection. Possible swelling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Survey response — day 7, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: Some pain in armpit of arm that received injection. Started yesterday, but is less painful today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-24
- 2021-03-31
-
2021-04-02
Dose 2 — Moderna
-
2021-04-02
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Good · Site: Pain · Muscle or body achesFree text: LightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Fever · HeadacheFree text: Swelling of lymph nodes under arm where received injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
-
2021-04-30
Survey response — day 28, dose 2MedDRA: Diarrhoea, Fatigue, Gastroenteritis viral, Headache, Nausea — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: I got the stomach flu. This was unrelated to the vaccine as it had been running through my sister's family. Symptoms were nausea, diarrhea, headaches, and exhaustion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-01
- 2022-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-04-02 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Pain in armpit under arm that received injection. Possible swelling.
Release 5 — day 7, dose 1
Systemic reaction (other): Some pain in armpit of arm that received injection. Started yesterday, but is less painful today.
Release 6 — day 0, dose 2
Systemic reaction (other): Lightheadedness
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling of lymph nodes under arm where received injection
Release 8 — day 28, dose 2
Symptoms: I got the stomach flu. This was unrelated to the vaccine as it had been running through my sister's family. Symptoms were nausea, diarrhea, headaches, and exhaustion.
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release