Y27-29781-48648
4 vaccinations
8 coded responses
48 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 207 / MD
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Dose 1 — Moderna
-
2021-04-17
Registered in v-safe
-
2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
-
2021-05-14
Dose 2 — Moderna
-
2021-05-16
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Oedema peripheral — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Had brief swelling in armpit yesterday (May 15 2021). Felt low energy for 36hours after shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: ItchingFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-08-13
- 2021-11-12
-
2021-12-20
Dose 3 — Moderna
-
2021-12-20
Health check-in — day 0, dose 3Feeling: Good · Site: Pain, Redness, Swelling · ChillsAdult check-in
-
2021-12-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · HeadacheAdult check-in
- 2021-12-23
- 2021-12-24
- 2021-12-25
-
2021-12-26
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Very small pain at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-01-17
- 2022-01-24
- 2022-01-31
- 2022-03-21
- 2022-06-20
-
2022-09-16
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-16
-
2022-09-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-18
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen slightly painful lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2022-09-19
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Lymph nodes in flu arm still slightly swollenMedDRA releases: 2024-11 · check-in free text available
-
2022-09-20
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain, Injection site swelling, Oedema peripheral — Feeling: Good · Site: Pain, Redness, SwellingFree text: Swelling in armpit of flu arm still noticeable. Swelling at injection site still prominent and slightly painful but going down.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-21
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain, Injection site pain, Injection site swelling, Oedema peripheral — Feeling: Good · Site: Pain, SwellingFree text: Slight swelling and pain in armpit and flu injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-09-22
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain, Injection site swelling — Feeling: Good · Site: Pain, SwellingFree text: Mild pain and swelling at flu injection site is still presentMedDRA releases: 2024-11 · check-in free text available
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-14 | Moderna | |
| 3 | 2021-12-20 | Moderna | No |
| 4 | 2022-09-16 | Pfizer-BioNTech | Flu |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Had brief swelling in armpit yesterday (May 15 2021). Felt low energy for 36hours after shot.
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Very small pain at injection site
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen slightly painful lymph nodes
Systemic reaction (other): Lymph nodes in flu arm still slightly swollen
Systemic reaction (other): Swelling in armpit of flu arm still noticeable. Swelling at injection site still prominent and slightly painful but going down.
Systemic reaction (other): Slight swelling and pain in armpit and flu injection site
Systemic reaction (other): Mild pain and swelling at flu injection site is still present
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 | Asthenia | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release