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6H2-17554-25806

4 vaccinations 9 coded responses 19 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
980 / WA
Registered
2021-12-13
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-18
    Dose 1 — Moderna
  2. 2021-05-17
    Dose 2 — Moderna
  3. 2021-12-11
    Dose 3 — Moderna
  4. 2021-12-13
    Registered in v-safe
  5. 2021-12-13
    Survey response — days 1–6 daily, dose 3
    MedDRA: Discomfort, Erythema, Lymphadenopathy, Pain — Feeling: Fair · Site: Redness, Itching · Muscle or body aches, Fatigue or tiredness
    Free text: Swelling of lymph node under left arm ( injection site) approx 1.5 inches; mild pain & discomfort; mild redness
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-15
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain — Feeling: Good · Site: Redness, Itching · Abdominal pain
    Free text: Left lymph node swelling approx 1.25 inches no pain ; slight tenderness& no redness
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-16
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching
    Free text: Swelling of left lymph nodes Approx < 1 inch; no redness; no tenderness; no pain
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-17
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Headache
    Free text: Swelling of lymph node left arm approx 1 inch
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-18
    Survey response — day 7, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Headache
    Free text: Swelling left lymph node approx less than half inch; no redness; no tenderness; no pain
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-12-25
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  11. 2022-01-01
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  12. 2022-01-08
    Survey response — day 28, dose 3
    MedDRA: Injection site rash — Feeling: Good
    Free text: Rash around the injection site
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-01-15
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  14. 2022-01-22
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-03-12
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-06-11
    Survey response — 6 months, dose 3
    MedDRA: Headache, Pre-existing disease — Feeling: Fair
    Free text: Headaches and allergies
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-09-12
    Dose 4 — Moderna
    Co-administered: Flu
  18. 2022-09-27
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  19. 2022-10-03
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  20. 2022-10-10
    Survey response — day 28, dose 4
    MedDRA: Breast pain, Inflammation, Pain — Feeling: Good
    Free text: Slight Inflammation on both armpits. Had throbbing pain on left breast on 10/7 and nothing since then.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-10-17
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  22. 2022-10-24
    Survey response — day 42, dose 4
    MedDRA: Rhinorrhoea, Throat irritation — Feeling: Good
    Free text: Itchy throat/runny nose
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-12-12
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  24. 2023-03-14
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-18Moderna No
22021-05-17Moderna No
32021-12-11Moderna No
42022-09-12Moderna Flu

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-13

Systemic reaction (other): Swelling of lymph node under left arm ( injection site) approx 1.5 inches; mild pain & discomfort; mild redness

2021-12-15

Systemic reaction (other): Left lymph node swelling approx 1.25 inches no pain ; slight tenderness& no redness

2021-12-16

Systemic reaction (other): Swelling of left lymph nodes Approx < 1 inch; no redness; no tenderness; no pain

2021-12-17

Systemic reaction (other): Swelling of lymph node left arm approx 1 inch

Release 10 — day 7, dose 3

2021-12-18

Systemic reaction (other): Swelling left lymph node approx less than half inch; no redness; no tenderness; no pain

Release 10 — day 28, dose 3

2022-01-08

Symptoms: Rash around the injection site

Release 12 — 6 months, dose 3

2022-06-11

Symptoms: Headaches and allergies

Release 12 — day 28, dose 4

2022-10-10

Symptoms: Slight Inflammation on both armpits. Had throbbing pain on left breast on 10/7 and nothing since then.

Release 12 — day 42, dose 4

2022-10-24

Symptoms: Itchy throat/runny nose

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
SDBreast pain · · ✓
SDHeadache · · ✓
SDInflammation · · ✓
SDInjection site rash · · ✓
SDPain · · ✓
SDPre-existing disease · · ✓
SDRhinorrhoea · · ✓
SDThroat irritation · · ✓
SRODiscomfort · · ✓
SROErythema · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROPain · · ✓

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

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