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Y2H-15213-99740

3 vaccinations 7 coded responses 33 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
857 / AZ
Registered
2021-01-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
89X-32223-64821 Child or adolescent in my care · Female · 2021-11-08

Timeline

  1. 2021-01-11
    Registered in v-safe
  2. 2021-01-11
    Dose 1 — Moderna
  3. 2021-01-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain, Oropharyngeal pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Pain in tonsils and ears
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-04
    Dose 2 — Moderna
  14. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches
    Adult check-in
  16. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-18
    Survey response — day 14, dose 2
    MedDRA: Axillary pain, Ear pain, Lymph node pain, Oropharyngeal pain — Feeling: Good
    Free text: Sharp pains in tonsils, ears, and underarm areas. Felt like lymph node pain; reminded me of pain in my lymph nodes when my immune system is working, like before I get sick. Lasted two days, reaolved yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-08-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-27
    Dose 3 — Moderna
  24. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  25. 2021-10-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness
    Free text: Sore and swollen lymph nodes under arm on sode of injection
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-10-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling
    Free text: Swollen and tender lymph nodes under arm on injection side
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Ear pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling
    Free text: Swollen lymph nodes under arm in injection side; sharp ear pain on injection side
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-11-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph nodes under arm on injection side
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swelling in lymph nodes under arm on injection side
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-01-26
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-04-27
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-04Moderna
32021-10-27Moderna No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Pain in tonsils and ears

Release 4 — day 14, dose 2

2021-02-18

Symptoms: Sharp pains in tonsils, ears, and underarm areas. Felt like lymph node pain; reminded me of pain in my lymph nodes when my immune system is working, like before I get sick. Lasted two days, reaolved yesterday.

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Sore and swollen lymph nodes under arm on sode of injection

2021-10-30

Systemic reaction (other): Swollen and tender lymph nodes under arm on injection side

2021-10-31

Systemic reaction (other): Swollen lymph nodes under arm in injection side; sharp ear pain on injection side

2021-11-01

Systemic reaction (other): Swollen lymph nodes under arm on injection side

2021-11-02

Systemic reaction (other): Swelling in lymph nodes under arm on injection side

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

FieldPreferred term2021-092023-042024-11
SDAxillary pain ✓ ✓ ✓
SDEar pain ✓ ✓ ✓
SDLymph node pain ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROOropharyngeal pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release