Y29-11696-15327
3 vaccinations
4 coded responses
38 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 945 / CA
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
TQV-47775-05522
Child or adolescent in my care · Female · 2022-08-02
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-13
- 2021-01-20
-
2021-01-25
Dose 2 — Moderna
- 2021-01-25
-
2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: I did get a swollen tender lymph node (left tonsillar area) on the same side as the injection. I noticed it a couple hours after receiving the injection (but forgot to include it in the other reports) and it still persists today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: PainFree text: The tender, swollen tonsillar lymph node on the left side is still there but improving both in size and level of discomfort.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · HeadacheFree text: The left sided swollen, tender tonsillar lymph node is still present but improving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-04-26
- 2021-07-26
-
2021-11-11
Dose 3 — Moderna
-
2021-11-11
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-13
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-18
- 2021-12-23
- 2022-02-10
- 2022-05-12
-
2022-11-11
Survey response — 12 months, dose 3MedDRA: Upper respiratory tract infection — Feeling: Good · Be unable to work or attend schoolFree text: Non Covid URIMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-25 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): I did get a swollen tender lymph node (left tonsillar area) on the same side as the injection. I noticed it a couple hours after receiving the injection (but forgot to include it in the other reports) and it still persists today.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): The tender, swollen tonsillar lymph node on the left side is still there but improving both in size and level of discomfort.
Systemic reaction (other): The left sided swollen, tender tonsillar lymph node is still present but improving.
Release 12 — 12 months, dose 3
Symptoms: Non Covid URI
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 | Upper respiratory tract infection | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release