6YN-21087-06805
2 vaccinations
14 coded responses
21 check-ins
13 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 070 / NJ
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-11
Dose 1 — Moderna
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2021-03-12
Registered in v-safe
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Dolor en la axila y gangleos inflamados en la axila y a la altura de la clavÃculaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Aun tengo los gangleos inflamadosMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Burning sensation — Feeling: GoodFree text: Dolor y ardor de la axila y los gangleos aun inflamadosMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Burning sensation, Oedema peripheral, Pruritus — Feeling: Good · Fatigue or tirednessFree text: Dolor, ardor y picazón en la axila y los gangleos inflamadosMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Discomfort, Lymphadenopathy — Feeling: GoodFree text: Malestar en la axila y gangleos inflamados en la axila y clavÃculaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: Gangleos inflamados en la axila y a la altura de la clavÃculaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — day 14, dose 1MedDRA: Lymphadenopathy, Pain — Feeling: GoodFree text: Mi gangleo del cuello sigue algo inflamado. Un poco de dolor del cuerpo algún dÃa.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
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2021-04-08
Dose 2 — Moderna
- 2021-04-08
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Inflammation — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tiredness, NauseaFree text: Gangleos inflamados en el cuello y la exila del lado de la vacunaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenitis — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Gangleos inflamadosMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Joint pains, Fatigue or tirednessFree text: Gangleos inflamadosMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenitis — Feeling: GoodFree text: Gangleos inflamadosMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Joint pains, Fatigue or tirednessFree text: Gangleos inflamadosMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 7, dose 2MedDRA: Lymphadenitis — Feeling: Good · Chills, Fatigue or tiredness, Abdominal painFree text: Gangleos inflamadosMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-07-08
- 2021-10-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Dolor en la axila y gangleos inflamados en la axila y a la altura de la clavÃcula
Systemic reaction (other): Aun tengo los gangleos inflamados
Systemic reaction (other): Dolor y ardor de la axila y los gangleos aun inflamados
Systemic reaction (other): Dolor, ardor y picazón en la axila y los gangleos inflamados
Systemic reaction (other): Malestar en la axila y gangleos inflamados en la axila y clavÃcula
Release 5 — day 7, dose 1
Systemic reaction (other): Gangleos inflamados en la axila y a la altura de la clavÃcula
Release 6 — day 14, dose 1
Symptoms: Mi gangleo del cuello sigue algo inflamado. Un poco de dolor del cuerpo algún dÃa.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Gangleos inflamados en el cuello y la exila del lado de la vacuna
Systemic reaction (other): Gangleos inflamados
Systemic reaction (other): Gangleos inflamados
Systemic reaction (other): Gangleos inflamados
Systemic reaction (other): Gangleos inflamados
Release 7 — day 7, dose 2
Systemic reaction (other): Gangleos inflamados
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 | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
| SRO | Lymphadenitis | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release