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6QX-85987-05338

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
199 / DE
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Registered in v-safe
  2. 2021-01-28
    Dose 1 — Moderna
  3. 2021-01-28
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  6. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-11
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good
    Free text: Night 6-7 Covid arm appeared. Red area around vaccine site about 6inches in diameter. Slightly itchy but tolerable. Disappear after 4-5 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-25
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-03-01
    Dose 2 — Moderna
  15. 2021-03-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Left axillary lymph nodes painful and swollen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Still pain in right axillary lymph nodes(side of injection)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-08
    Survey response — day 7, dose 2
    MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Good · Abdominal pain
    Free text: Slight diarrhea and stomach pains over the past 4 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-15
    Survey response — day 14, dose 2
    MedDRA: Abdominal discomfort, Abdominal pain, Eructation, Feeling abnormal, Gastrointestinal disorder, Lymph node pain, Lymphadenopathy, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Stomach still bothering me since the vaccine. Moderately uncomfortable. Pains after eating, with excessive burping. Just not normal feeling. Axillary left lymph node getting better but still slightly swollen and sore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-31
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-03-03
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-03-01Moderna

Free text

Release 4 — day 14, dose 1

2021-02-11

Symptoms: Night 6-7 Covid arm appeared. Red area around vaccine site about 6inches in diameter. Slightly itchy but tolerable. Disappear after 4-5 days.

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Left axillary lymph nodes painful and swollen.

2021-03-05

Systemic reaction (other): Still pain in right axillary lymph nodes(side of injection)

Release 5 — day 7, dose 2

2021-03-08

Systemic reaction (other): Slight diarrhea and stomach pains over the past 4 days

Release 5 — day 14, dose 2

2021-03-15

Symptoms: Stomach still bothering me since the vaccine. Moderately uncomfortable. Pains after eating, with excessive burping. Just not normal feeling. Axillary left lymph node getting better but still slightly swollen and sore.

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
SDAbdominal discomfort ✓ ✓ ✓
SDAbdominal pain · · ✓
SDEructation ✓ ✓ ✓
SDFeeling abnormal · · ✓
SDGastrointestinal disorder · · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDLymph node pain · · ✓
SDLymphadenopathy ✓ ✓ ✓
SDPain ✓ ✓ ○
SROAbdominal pain upper ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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

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