665-69403-00517
3 vaccinations
9 coded responses
27 check-ins
9 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 26-30
- ZIP prefix
- 151 / PA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Mild Axillary lymph node tenderness and swelling on same site of injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Mildly Tender and swollen lymph nodes in axillary region on same side as shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-09
- 2021-02-16
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2021-02-23
Dose 2 — Moderna
- 2021-02-23
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2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Tenderness — Feeling: Good · Site: PainFree text: Swollen and moderately tender axillary lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral, Tenderness — Feeling: GoodFree text: Moderate Swelling to axillary region and moderate tendernessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymphadenopathy — Feeling: GoodFree text: Moderate swelling to axillary lymph node with mild tenderness to palpationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Mild Swelling to axillary lymphNodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-07
- 2021-05-25
- 2021-08-24
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2021-12-01
Dose 3 — Moderna
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2022-02-23
Survey response — 12 months, dose 2MedDRA: Headache, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: GoodFree text: Generally healthy, a few headache or days with congestion; all negative Covid testsMedDRA releases: 2024-11 · check-in free text available
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2022-06-03
Survey response — 6 months, dose 3MedDRA: Cough, Nasal congestion, Paranasal sinus discomfort, Pre-existing disease, Respiratory tract congestion — Feeling: FairFree text: Nasal congestion, nonproductive congested cough, sinus pressure; assumingely a mixture from Covid/allergies; only lasted 2 days.MedDRA releases: 2024-11 · check-in free text available
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2022-12-01
Survey response — 12 months, dose 3MedDRA: Influenza like illness, Nasopharyngitis — Feeling: FairFree text: FLU-like, Cold-like sxsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Mild Axillary lymph node tenderness and swelling on same site of injection
Systemic reaction (other): Mildly Tender and swollen lymph nodes in axillary region on same side as shot
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen and moderately tender axillary lymph node
Systemic reaction (other): Moderate Swelling to axillary region and moderate tenderness
Systemic reaction (other): Moderate swelling to axillary lymph node with mild tenderness to palpation
Systemic reaction (other): Mild Swelling to axillary lymphNode
Release 11 — 12 months, dose 2
Symptoms: Generally healthy, a few headache or days with congestion; all negative Covid tests
Release 11 — 6 months, dose 3
Symptoms: Nasal congestion, nonproductive congested cough, sinus pressure; assumingely a mixture from Covid/allergies; only lasted 2 days.
Release 12 — 12 months, dose 3
Symptoms: FLU-like, Cold-like sxs
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 | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release