LKV-26906-00995
3 vaccinations
2 coded responses
17 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 972 / OR
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-03-30
Registered in v-safe
-
2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Oedema peripheral — Feeling: GoodFree text: Swelling and soreness in my right armpit, same side of injection. Possibly lymph nodes?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-10
- 2021-04-14
-
2021-04-21
Dose 2 — Moderna
- 2021-04-21
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-24
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-07
- 2021-05-14
- 2021-10-20
-
2021-11-10
Dose 3 — ModernaCo-administered: Flu
- 2022-02-09
- 2022-05-13
-
2022-11-10
Survey response — 12 months, dose 3MedDRA: Delivery — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: I had a baby · Healthcare visit (other): Gave birthMedDRA releases: 2024-11 · check-in free text available
-
2022-11-10
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-11-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-11-10 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Swelling and soreness in my right armpit, same side of injection. Possibly lymph nodes?
Release 12 — 12 months, dose 3
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 |
|---|---|---|---|---|
| HCVO | Delivery | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release