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6WT-15607-12553

2 vaccinations 3 coded responses 19 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
100 / NY
Registered
2021-02-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Dose 1 — Moderna
  2. 2021-02-05
    Registered in v-safe
  3. 2021-02-05
    Survey response — day 7, dose 1
    MedDRA: Fatigue, Impaired work ability, Influenza, Injection site pain, Injection site swelling, Migraine, Pruritus — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Free text: Day of innoculation: slight itching on OTHER bicep, no other symptoms. Day 2: Flu/migraine/fatigue, called out of work. Day 3: Injection site very swollen and painful, as if snakebit. Day 4: swelling subsided. Day 8/9: Swelling returned at injection site. Original inflammation was about 5" across, new inflammation about 2".
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-25
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-28
    Dose 2 — Moderna
  8. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches
    Adult check-in
  9. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains
    Free text: Swollen lymph node on same side as vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen and tender lymph node on same side as vaccination site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  12. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-03-01
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-28Moderna

Free text

Release 3 — day 7, dose 1

2021-02-05

Systemic reaction (other): Day of innoculation: slight itching on OTHER bicep, no other symptoms. Day 2: Flu/migraine/fatigue, called out of work. Day 3: Injection site very swollen and painful, as if snakebit. Day 4: swelling subsided. Day 8/9: Swelling returned at injection site. Original inflammation was about 5" across, new inflammation about 2".

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Swollen lymph node on same side as vaccination

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Swollen and tender lymph node on same side as vaccination site

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
SROFatigue ✓ ✓ ✓
SROImpaired work ability ✓ ✓ ✓
SROInfluenza ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMigraine ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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

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