FJ3-14359-39911
1 vaccination
3 coded responses
11 check-ins
3 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 26-30
- ZIP prefix
- 307 / GA
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
-
2020-12-28
Survey response — day 0, dose 1MedDRA: Heart rate increased — Feeling: FairFree text: Rapid heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
- 2021-01-01
- 2021-01-02
-
2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Right axillary lymphadenopathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-04
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Site: SwellingFree text: Axillary lymphadenopathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-18
- 2021-03-29
- 2021-06-28
- 2021-12-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Rapid heart rate
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Right axillary lymphadenopathy
Release 1 — day 7, dose 1
Systemic reaction (other): Axillary lymphadenopathy
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 |
|---|---|---|---|---|
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release