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Y3X-24366-60633

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
780 / TX
Registered
2020-12-23
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2020-12-23
    Registered in v-safe
  2. 2020-12-23
    Dose 1 — Moderna
  3. 2020-12-23
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2020-12-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-06
    Survey response — day 14, dose 1
    MedDRA: Injection site rash, Lymph node pain, Lymphadenopathy, Oral herpes, Rash erythematous, Rash pruritic — Feeling: Good
    Free text: On day 8, 9 & 10 post injection, I developed an itchy, red rash to the injection site. On those same days, I noticed enlarged, mildly painful axillary lymph nodes on my injection arm only. On day 8 & 9, I developed a cold sore to my outer lip.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-20
    Dose 2 — Moderna
  14. 2021-01-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  15. 2021-01-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Mild swelling and pain to underarm lymph nodes to injection arm only
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain, Lymph node pain, Lymphadenopathy, Pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Mild swelling and pain to axillary lymph nodes to injection arm only. Mild arm pain radiating from injection site to hand.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Mild axillary lymph node swelling and pain to injection arm only
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-01-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Mild axillary lympn node pain and swelling to injection arm only
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · None
    Adult check-in
  20. 2021-01-27
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  21. 2021-02-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-02-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-01-20
    Survey response — 12 months, dose 2
    MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good
    Free text: Had arm redness and itching to injection site that lasted 7 days post injection
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna
22021-01-20Moderna

Free text

Release 1 — day 14, dose 1

2021-01-06

Symptoms: On day 8, 9 & 10 post injection, I developed an itchy, red rash to the injection site. On those same days, I noticed enlarged, mildly painful axillary lymph nodes on my injection arm only. On day 8 & 9, I developed a cold sore to my outer lip.

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): Mild swelling and pain to underarm lymph nodes to injection arm only

2021-01-23

Systemic reaction (other): Mild swelling and pain to axillary lymph nodes to injection arm only. Mild arm pain radiating from injection site to hand.

2021-01-24

Systemic reaction (other): Mild axillary lymph node swelling and pain to injection arm only

2021-01-25

Systemic reaction (other): Mild axillary lympn node pain and swelling to injection arm only

Release 10 — 12 months, dose 2

2022-01-20

Symptoms: Had arm redness and itching to injection site that lasted 7 days post injection

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
SDInjection site erythema · · ✓
SDInjection site pruritus · · ✓
SDInjection site rash ✓ ✓ ✓
SDLymph node pain ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDOral herpes ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPain ✓ ✓ ✓

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