6TM-26622-30669
3 vaccinations
13 coded responses
39 check-ins
13 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 975 / OR
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-01-26
Registered in v-safe
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2021-01-26
Dose 1 — Moderna
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2021-01-26
Survey response — day 0, dose 1MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · HeadacheFree text: Had the headache before taking shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
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2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-17
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2021-02-22
Dose 2 — Moderna
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2021-02-22
Survey response — day 0, dose 2MedDRA: Hypoaesthesia — Feeling: GoodFree text: Strange numbing sensation on left side of faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate irregular, Hypotension — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body achesFree text: Last night had irregular hearbeat & lower than usual blood pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-25
- 2021-02-26
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Malaise, Migraine — Feeling: Fair · Fatigue or tirednessFree text: Out of sorts feeling, feels like a migraine getting ready to startMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
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2021-05-26
Survey response — 3 months, dose 2MedDRA: Sinusitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: bacterial sinus infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-23
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2021-10-29
Dose 3 — Moderna
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Under arm pain in same arm as injectionMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral, Pain in extremity — Feeling: Fair · Site: PainFree text: Very enlarged armpit with pain in injected armMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Axillary mass, Breast mass, Pain — Feeling: Fair · Headache · Be unable to work or attend schoolFree text: Large lump under vaccinated arm & into breast, reducing in size & painMedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Axillary mass, Axillary pain — Feeling: Good · HeadacheFree text: Lump & some pain under vaccinated arm , it is getting smaller & pain has reducedMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Axillary mass — Feeling: GoodFree text: Lump still under injection site armMedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Survey response — day 7, dose 3MedDRA: Axillary mass — Feeling: GoodFree text: Still have a lump in armpit under injection site arm (reducing in size)MedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Survey response — day 14, dose 3MedDRA: Axillary pain, Breast pain, Lymphadenopathy, Oedema peripheral, Skin burning sensation — Feeling: FairFree text: On same side as injection-Swollen lymph nodes in neck & elbow bend, burning skin sensation on same arm & back of neck, still have swollen armpit (not as big as before) some pain in pit & breast areaMedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
- 2021-12-07
- 2021-12-10
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2022-01-30
Survey response — 3 months, dose 3MedDRA: Axillary mass, Axillary pain, Limb mass, Pain — Feeling: FairFree text: I have the same lump under my armpit, near breast & in the bend of my elbow that came after the booster shot.It is not as large, but is painful at times.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
- 2022-10-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Had the headache before taking shot
Release 4 — day 0, dose 2
Systemic reaction (other): Strange numbing sensation on left side of face
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Last night had irregular hearbeat & lower than usual blood pressure
Systemic reaction (other): Out of sorts feeling, feels like a migraine getting ready to start
Release 8 — 3 months, dose 2
Symptoms: bacterial sinus infection
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Under arm pain in same arm as injection
Systemic reaction (other): Very enlarged armpit with pain in injected arm
Systemic reaction (other): Large lump under vaccinated arm & into breast, reducing in size & pain
Systemic reaction (other): Lump & some pain under vaccinated arm , it is getting smaller & pain has reduced
Systemic reaction (other): Lump still under injection site arm
Release 10 — day 7, dose 3
Systemic reaction (other): Still have a lump in armpit under injection site arm (reducing in size)
Release 10 — day 14, dose 3
Symptoms: On same side as injection-Swollen lymph nodes in neck & elbow bend, burning skin sensation on same arm & back of neck, still have swollen armpit (not as big as before) some pain in pit & breast area
Release 11 — 3 months, dose 3
Symptoms: I have the same lump under my armpit, near breast & in the bend of my elbow that came after the booster shot.It is not as large, but is painful at times.
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 | Axillary mass | · | · | ✓ |
| SD | Axillary pain | · | · | ✓ |
| SD | Breast pain | · | · | ✓ |
| SD | Limb mass | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Skin burning sensation | · | · | ✓ |
| SRO | Axillary mass | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Breast mass | · | · | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Hypotension | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release