XWA-21937-84455
4 vaccinations
3 coded responses
52 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 591 / MT
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
5WU-11613-53397
Child or adolescent in my care · Female · 2022-07-15
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
-
2020-12-23
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Chills, Muscle or body achesAdult check-in
-
2020-12-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
-
2021-01-06
Survey response — day 14, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: At one week post-vaccination I developed two swollen superficial cervical lymph nodes on the same side I received my vaccination. The tenderness has resolved and they are now decreasing in size.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
-
2021-01-22
Dose 2 — Moderna
- 2021-01-22
-
2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: Pain at first injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-04-23
- 2021-07-23
-
2021-09-09
Dose 3 — Moderna
-
2021-09-10
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Swollen lymph nodes (axillae, neck)MedDRA releases: 2024-11 · check-in free text available
-
2021-09-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-09-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-09-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-09-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-09-15
- 2021-09-16
- 2021-09-23
- 2021-09-30
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-12-10
- 2022-03-10
- 2022-09-09
-
2022-10-27
Dose 4 — Moderna
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2022-10-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2022-10-29
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2022-10-31
Health check-in — days 1–6 daily, dose 4Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-11-01
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-02
- 2022-12-09
- 2023-01-28
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-22 | Moderna | |
| 3 | 2021-09-09 | Moderna | No |
| 4 | 2022-10-27 | Moderna | No |
Free text
Release 1 — day 14, dose 1
Symptoms: At one week post-vaccination I developed two swollen superficial cervical lymph nodes on the same side I received my vaccination. The tenderness has resolved and they are now decreasing in size.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Pain at first injection site
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes (axillae, neck)
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 | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release