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JK9-62870-81263

3 vaccinations 3 coded responses 21 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
913 / CA
Registered
2021-07-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-30
    Registered in v-safe
  2. 2021-07-30
    Dose 1 — Moderna
  3. 2021-07-30
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  4. 2021-07-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2021-08-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-08-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-08-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-08-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anxiety — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Anxious feeling
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-08-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-08-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-08-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-08-27
    Dose 2 — Moderna
  14. 2021-09-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-09-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-09-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-01
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-10-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-11-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-01-28
    Dose 3 — Moderna
  22. 2022-01-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Possible swollen lymph node in armpit in vaccine arm.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-02-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Slightly swollen lymph node but improving
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-02-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2022-02-06
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-30Moderna No
22021-08-27Moderna No
32022-01-28Moderna No

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-04

Systemic reaction (other): Anxious feeling

Release 11 — days 1–6 daily, dose 3

2022-01-30

Systemic reaction (other): Possible swollen lymph node in armpit in vaccine arm.

2022-02-01

Systemic reaction (other): Slightly swollen lymph node but improving

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
SROAnxiety ✓ · ✓
SROLymphadenopathy · · ✓
SROUnevaluable event · · ✓

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

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