XJX-58408-31877
3 vaccinations
3 coded responses
41 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 945 / CA
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
- 2020-12-28
-
2020-12-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, NauseaAdult check-in
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-13
Survey response — day 14, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Left sided sub-clavicular lymph node. I received my immunization on the left side. The lymph node was approx 1.5cm in diameter, tender, and irritating due to location. It is now smaller, non tender, but still present.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-20
- 2021-01-25
-
2021-01-28
Dose 2 — Moderna
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-30
-
2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Enlarged subclavicular lymph node on the same side as vaccine site. Occurred with first vaccine, has recurred with secondMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-25
Survey response — day 28, dose 2MedDRA: Cough, Wheezing — Feeling: GoodFree text: Dry cough developed over a week, particularly at night, found to have wheezing that responded well to albuterol and steroids. No viral symptoms, no history of asthma.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-11
- 2021-04-29
- 2021-07-29
-
2021-12-03
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-12-03
-
2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-15
- 2022-03-04
- 2022-06-03
- 2022-12-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-12-03 | Pfizer-BioNTech | Flu |
Free text
Release 1 — day 14, dose 1
Symptoms: Left sided sub-clavicular lymph node. I received my immunization on the left side. The lymph node was approx 1.5cm in diameter, tender, and irritating due to location. It is now smaller, non tender, but still present.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Enlarged subclavicular lymph node on the same side as vaccine site. Occurred with first vaccine, has recurred with second
Release 4 — day 28, dose 2
Symptoms: Dry cough developed over a week, particularly at night, found to have wheezing that responded well to albuterol and steroids. No viral symptoms, no history of asthma.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release