MQQ-41080-48589
5 vaccinations
8 coded responses
63 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 631 / MO
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
L2E-10358-12959
Child or adolescent in my care · Male · 2022-06-25
Timeline
-
2021-01-12
Registered in v-safe
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2021-01-12
Dose 1 — Moderna
- 2021-01-12
-
2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-21
- 2021-01-26
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
-
2021-02-09
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
- 2021-08-10
-
2021-11-05
Dose 3 — Moderna
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen axillary lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, SwellingFree text: Swollen axillary lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Axillary lymph node swelling and pain (improving)MedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-12
-
2021-11-19
Survey response — day 14, dose 3MedDRA: Influenza virus test negative, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: A cold. Negative for Covid, flu, and strepMedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
- 2022-05-06
-
2022-07-23
Dose 4 — Moderna
- 2022-07-23
-
2022-07-24
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-07-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-07-26
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen axillary and supraclavicular lymph nodes on side of vaccinationMedDRA releases: 2024-11 · check-in free text available
-
2022-07-27
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen axillary lymph nodesMedDRA releases: 2024-11 · check-in free text available
- 2022-07-29
- 2022-07-30
- 2022-08-06
- 2022-08-13
- 2022-08-20
- 2022-08-27
- 2022-09-03
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2022-10-22
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: We all have a cold, but not Covid!MedDRA releases: 2024-11 · check-in free text available
-
2022-11-07
Dose 5 — Moderna
- 2022-11-07
-
2022-11-08
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-11-09
- 2022-11-10
- 2022-11-11
- 2022-11-13
- 2022-11-14
-
2022-11-21
Survey response — day 14, dose 5MedDRA: Syncope — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Syncope episode today.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-21
Report sent to call center — day 14, dose 5Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-11-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-28
- 2022-12-05
- 2022-12-12
- 2022-12-19
- 2023-02-06
- 2023-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-07-23 | Moderna | No |
| 5 | 2022-11-07 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen axillary lymph nodes
Systemic reaction (other): Swollen axillary lymph nodes
Systemic reaction (other): Axillary lymph node swelling and pain (improving)
Release 10 — day 14, dose 3
Symptoms: A cold. Negative for Covid, flu, and strep
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen axillary and supraclavicular lymph nodes on side of vaccination
Systemic reaction (other): Swollen axillary lymph nodes
Release 12 — 3 months, dose 4
Symptoms: We all have a cold, but not Covid!
Release 12 — day 14, dose 5
Symptoms: Syncope episode today.
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 | Influenza virus test negative | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Syncope | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release