JLQ-32271-79303
4 vaccinations
15 coded responses
48 check-ins
14 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 200 / DC
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-28
Registered in v-safe
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2020-12-28
Dose 1 — Moderna
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2020-12-28
Survey response — day 0, dose 1MedDRA: No adverse event, Pre-existing disease, Rash — Feeling: GoodFree text: I have chronic rash from other causeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: But I usually have headaches on my first day of period which is todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-04
Survey response — day 7, dose 1MedDRA: Lymph node pain — Feeling: GoodFree text: Realized the past two days, I have a small tender lymph node to my left axilla which is the same side as injection sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
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2021-01-18
Survey response — day 21, dose 1MedDRA: Nasal congestion — Feeling: GoodFree text: Mild stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
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2021-01-27
Dose 2 — Moderna
- 2021-01-27
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Vaccine positive rechallenge — Feeling: Good · Site: Pain · Abdominal painFree text: Left axillary lymphadenopathy (I got this reaction with the first Moderna vaccine too)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Mild headache but maybe bec Im on third day of period?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
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2021-04-28
Survey response — 3 months, dose 2MedDRA: Biopsy lymph gland, Lymphadenopathy, Magnetic resonance imaging, Magnetic resonance imaging breast abnormal, Ultrasound breast abnormal — Feeling: GoodFree text: Lymph node found on ultrasound and breast mri to right axila (I got my vaccine in the left arm)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-28
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2021-11-05
Dose 3 — Moderna
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2021-11-05
Survey response — day 0, dose 3MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: Sore armMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Chills, Joint pains, Muscle or body achesAdult check-in
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: Left axillary lymph node tendernessMedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Hordeolum — Feeling: Good · Site: PainFree text: Stye to right eye cornerMedDRA releases: 2024-11 · check-in free text available
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-28
- 2021-12-03
- 2021-12-17
- 2022-02-06
- 2022-05-06
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2022-09-14
Dose 4 — Moderna
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2022-09-19
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Chills, Muscle or body aches · Be unable to work or attend schoolFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-09-20
Survey response — days 1–6 daily, dose 4MedDRA: COVID-19, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Runny nose. I have covidMedDRA releases: 2024-11 · check-in free text available
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2022-09-21
Survey response — day 7, dose 4MedDRA: COVID-19, Nasal congestion, Pregnancy — Feeling: Fair · Be unable to work or attend schoolFree text: Stuffy nose. I'm covid positive and pregnantMedDRA releases: 2024-11 · check-in free text available
- 2022-09-28
- 2022-10-07
- 2022-10-19
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2022-10-27
Survey response — day 42, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: Right axillary lymph node. I had flu shot in right arm 10/17/22MedDRA releases: 2024-11 · check-in free text available
- 2022-12-14
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2023-03-15
Survey response — 6 months, dose 4MedDRA: COVID-19, Peripheral swelling, Postpartum state, Pregnancy — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-09-14 | Moderna | No |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): I have chronic rash from other cause
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): But I usually have headaches on my first day of period which is today
Release 1 — day 7, dose 1
Systemic reaction (other): Realized the past two days, I have a small tender lymph node to my left axilla which is the same side as injection side
Release 2 — day 21, dose 1
Symptoms: Mild stuffy nose
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Left axillary lymphadenopathy (I got this reaction with the first Moderna vaccine too)
Systemic reaction (other): Mild headache but maybe bec Im on third day of period?
Release 8 — 3 months, dose 2
Symptoms: Lymph node found on ultrasound and breast mri to right axila (I got my vaccine in the left arm)
Release 10 — day 0, dose 3
Systemic reaction (other): Sore arm
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Left axillary lymph node tenderness
Systemic reaction (other): Stye to right eye corner
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Sore throat
Systemic reaction (other): Runny nose. I have covid
Release 12 — day 7, dose 4
Systemic reaction (other): Stuffy nose. I'm covid positive and pregnant
Release 12 — day 42, dose 4
Symptoms: Right axillary lymph node. I had flu shot in right arm 10/17/22
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 | Biopsy lymph gland | ✓ | ✓ | ○ |
| SD | COVID-19 | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Magnetic resonance imaging | ✓ | ✓ | ○ |
| SD | Magnetic resonance imaging breast abnormal | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Postpartum state | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Ultrasound breast abnormal | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hordeolum | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pregnancy | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release