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PRT-73239-11597

4 vaccinations 5 coded responses 53 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
800 / CO
Registered
2021-03-25
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-25
    Registered in v-safe
  2. 2021-03-25
    Dose 1 — Moderna
  3. 2021-03-25
    Survey response — day 0, dose 1
    MedDRA: Axillary pain, Dizziness — Feeling: Good · Site: Pain
    Free text: Pain in armpit on side of injection. Pressing on the painful spot caused dizziness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-22
    Dose 2 — Moderna
  14. 2021-04-22
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Painful swollen lymph nodes on side of shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness
    Free text: Painful swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness
    Free text: Painful swollen lymph nodes in armpit on side of injection, light headedness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  20. 2021-04-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Itching
    Free text: Swollen lymph nodes still hurt a bit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-29
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-05-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-22
    Dose 3 — Moderna
  30. 2021-11-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2021-11-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-12-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-02-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-05-23
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-09-15
    Dose 4 — Moderna
  44. 2022-09-15
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  45. 2022-09-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  46. 2022-09-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  47. 2022-09-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-09-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-09-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-09-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  51. 2022-09-22
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  52. 2022-09-29
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-10-06
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-10-13
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-10-20
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-10-27
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-12-15
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  58. 2023-03-16
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-04-22Moderna
32021-11-22Moderna No
42022-09-15Moderna No

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): Pain in armpit on side of injection. Pressing on the painful spot caused dizziness.

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Painful swollen lymph nodes on side of shot

2021-04-25

Systemic reaction (other): Painful swollen lymph nodes

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Painful swollen lymph nodes in armpit on side of injection, light headedness

2021-04-28

Systemic reaction (other): Swollen lymph nodes still hurt a bit

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
SROAxillary pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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

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