W7K-32474-63537
4 vaccinations
7 coded responses
23 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 731 / OK
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Dose 1 — Moderna
-
2021-01-06
Registered in v-safe
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2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-08
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2021-01-09
Survey response — day 7, dose 1MedDRA: Paraesthesia — Feeling: Good · Site: Pain, Redness, Itching · Joint painsFree text: Tingling of arm and hand that had the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
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2021-01-24
Survey response — day 21, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Lymphadenopathy midaxillary on arm that was vaccinatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Dose 2 — Moderna
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2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tirednessFree text: Pain under arm and lymph node in arm pitMedDRA 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: Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body achesFree text: Rash over arm and lymph nodes axillary and neck region on affected sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tirednessFree text: Supraclavicular lymph node and axillary lymph node on side of injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-02-06
Survey response — day 7, dose 2MedDRA: Breast feeding, Rash neonatal — Feeling: Good · Site: ItchingFree text: Rash that was transient in breastfed infantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-19
- 2021-02-27
- 2021-03-06
- 2021-03-12
- 2021-04-29
- 2021-07-31
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2021-12-28
Dose 3 — Moderna
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2022-09-19
Dose 4 — Moderna
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
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2022-10-05
Survey response — day 14, dose 4MedDRA: Blepharospasm, Respiratory tract congestion — Feeling: GoodFree text: Eye twitching x 1 week Mild congestion last dayMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-12-28 | Moderna | No |
| 4 | 2022-09-19 | Moderna | No |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Tingling of arm and hand that had the injection
Release 2 — day 21, dose 1
Symptoms: Lymphadenopathy midaxillary on arm that was vaccinated
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Pain under arm and lymph node in arm pit
Systemic reaction (other): Rash over arm and lymph nodes axillary and neck region on affected side
Systemic reaction (other): Supraclavicular lymph node and axillary lymph node on side of injection
Release 3 — day 7, dose 2
Systemic reaction (other): Rash that was transient in breastfed infant
Release 12 — day 14, dose 4
Symptoms: Eye twitching x 1 week Mild congestion last day
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 | Blepharospasm | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash neonatal | ○ | ✓ | ○ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release