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
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
- 2020-12-23
- 2020-12-24
- 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: Injection site rash, Lymph node pain, Lymphadenopathy, Oral herpes, Rash erythematous, Rash pruritic — Feeling: GoodFree 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
- 2021-01-14
-
2021-01-20
Dose 2 — Moderna
-
2021-01-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-01-22
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Mild swelling and pain to underarm lymph nodes to injection arm onlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Lymph node pain, Lymphadenopathy, Pain — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree 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
-
2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Mild axillary lymph node swelling and pain to injection arm onlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Mild axillary lympn node pain and swelling to injection arm onlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-18
- 2021-02-24
- 2021-03-03
-
2022-01-20
Survey response — 12 months, dose 2MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Had arm redness and itching to injection site that lasted 7 days post injectionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna |
Free text
Release 1 — day 14, dose 1
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
Systemic reaction (other): Mild swelling and pain to underarm lymph nodes to injection arm only
Systemic reaction (other): Mild swelling and pain to axillary lymph nodes to injection arm only. Mild arm pain radiating from injection site to hand.
Systemic reaction (other): Mild axillary lymph node swelling and pain to injection arm only
Systemic reaction (other): Mild axillary lympn node pain and swelling to injection arm only
Release 10 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Oral herpes | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release