XVW-84639-68078
2 vaccinations
5 coded responses
9 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 200 / DC
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-03-11
Registered in v-safe
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Axillary mass — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-12
Survey response — 7 day, dose 1MedDRA: Axillary mass, Axillary pain, Limb discomfort — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-19
Survey response — 14 day, dose 1MedDRA: Injection site erythema, Injection site injury, Lymphadenopathy, Nodule, Pruritus — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
-
2021-04-16
Survey response — 14 day, dose 2MedDRA: Dry mouth, Headache, Immunisation reaction, Pain — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-23
Survey response — 21 day, dose 2MedDRA: Lymphadenopathy, Tenderness — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-30
- 2021-05-16
- 2021-10-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna |
Free text
Release 5
Systemic reaction (other): Lump in my armpit of the arm that injection was received.
Systemic reaction (other): Lump in my underarm accompanied by some discomfort and paint
Symptoms: Developed injection site symptoms, specially Covid Arm. Have a large red itchy slightly swollen rash. Swollen lymph node (knot) on side of neck where injection took place.
Release 7
Symptoms: The next 2 days following the second dose, I experienced head ache, back ache, dry mouth, and Covid-arm
Symptoms: Swollen lymph node in underarm and some tenderness
Free-text releases are not linked to a specific 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 | Dry mouth | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site injury | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Nodule | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Axillary mass | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release