XFD-36389-21282
4 vaccinations
3 coded responses
47 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 120 / NY
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Moderna
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Moderna
- 2021-03-26
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, NauseaAdult check-in
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Toothache — Feeling: Good · Site: Pain, SwellingFree text: Dull teeth pain - whole mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-24
-
2021-11-20
Dose 3 — Moderna
-
2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pain and swelling in armpit of arm that had injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: Pain and swelling in Armpit of arm that received injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-11-29
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-02-19
- 2022-05-23
-
2022-11-16
Dose 4 — Pfizer-BioNTech
- 2022-11-16
- 2022-11-17
- 2022-11-18
- 2022-11-19
- 2022-11-20
- 2022-11-21
- 2022-11-22
- 2022-11-30
- 2022-12-08
- 2022-12-14
- 2022-12-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-20 | Moderna | No |
| 4 | 2022-11-16 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Dull teeth pain - whole mouth
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain and swelling in armpit of arm that had injection
Systemic reaction (other): Pain and swelling in Armpit of arm that received injection
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 |
|---|---|---|---|---|
| SRO | Axillary pain | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release