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68N-23942-15769

2 vaccinations 6 coded responses 11 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
983 / WA
Registered
2021-08-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-08-23
    Dose 2 — Moderna
  3. 2021-08-26
    Registered in v-safe
  4. 2021-08-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Swollen lymph node in under arm on injection arm
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Limb discomfort, Lymphadenopathy, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Swollen lymph nodes are causing tingling and strange feeling below the elbow on injection arm, left arm.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-08-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-08-30
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Same under arm issue continues
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-09-08
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-09-13
    Survey response — day 21, dose 2
    MedDRA: Oedema peripheral, Paraesthesia, Peripheral swelling, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: A higher fever Wednesday and Thursday. A more notable feeling of swelling under and inside upper arms to the point of needles and pins sensations in hands until I elevated my arms.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-09-21
    Survey response — day 28, dose 2
    MedDRA: Back pain, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Muscle pain in upper back and shoulders
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-10-01
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-10-04
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-11-23
    Survey response — 3 months, dose 2
    MedDRA: Chest discomfort, Fatigue, Headache, Loss of personal independence in daily activities — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I am unusually tired, often experience an unusual feeling of tightness in my chest, and often wake with a headache. I am retired and live in a remote rural area, these symptoms don't cause me to miss work but they interfere with usual activities.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-08-23
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna No
22021-08-23Moderna No

Free text

Release 9 — days 1–6 daily, dose 2

2021-08-26

Systemic reaction (other): Swollen lymph node in under arm on injection arm

2021-08-27

Systemic reaction (other): Swollen lymph nodes are causing tingling and strange feeling below the elbow on injection arm, left arm.

Release 9 — day 7, dose 2

2021-08-30

Systemic reaction (other): Same under arm issue continues

Release 9 — day 21, dose 2

2021-09-13

Symptoms: A higher fever Wednesday and Thursday. A more notable feeling of swelling under and inside upper arms to the point of needles and pins sensations in hands until I elevated my arms.

Release 9 — day 28, dose 2

2021-09-21

Symptoms: Muscle pain in upper back and shoulders

Release 10 — 3 months, dose 2

2021-11-23

Symptoms: I am unusually tired, often experience an unusual feeling of tightness in my chest, and often wake with a headache. I am retired and live in a remote rural area, these symptoms don't cause me to miss work but they interfere with usual activities.

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
SDBack pain · · ✓
SDChest discomfort · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDLoss of personal independence in daily activities · · ✓
SDMyalgia · · ✓
SDOedema peripheral · · ✓
SDParaesthesia · · ✓
SDPeripheral swelling · · ✓
SDPyrexia · · ✓
SROLimb discomfort ✓ · ✓
SROLymphadenopathy ✓ · ✓
SROParaesthesia ✓ · ✓
SROUnevaluable event ✓ · ✓

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