NW5-37766-93055
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 983 / WA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
-
2021-02-09
Survey response — day 7, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: Pain in underarm- left side where lymph nodes are.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Survey response — day 14, dose 1MedDRA: Axillary pain, Lymph node pain — Feeling: GoodFree text: Pain under right arm in lymph node area. Minor pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — day 21, dose 1MedDRA: Migraine, Pre-existing disease — Feeling: Fair · Be unable to workFree text: Migraine. Do not know if this was related to vaccine. I have a history of migraines.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats — Feeling: Fair · Site: Pain · Fever · HeadacheFree text: Night sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
-
2021-03-19
Survey response — day 21, dose 2MedDRA: Lymph node pain — Feeling: GoodFree text: Painful lymph node in underarm of arm that had vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-11
- 2021-05-28
- 2021-08-27
- 2022-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Pain in underarm- left side where lymph nodes are.
Release 4 — day 14, dose 1
Symptoms: Pain under right arm in lymph node area. Minor pain.
Release 4 — day 21, dose 1
Symptoms: Migraine. Do not know if this was related to vaccine. I have a history of migraines.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Night sweats
Release 5 — day 21, dose 2
Symptoms: Painful lymph node in underarm of arm that had vaccine.
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 | Axillary pain | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release