Y4M-91503-78552
4 vaccinations
15 coded responses
40 check-ins
15 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 974 / OR
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-24
Dose 1 — Moderna
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2021-02-20
Registered in v-safe
- 2021-02-20
- 2021-02-21
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2021-02-28
Dose 2 — Moderna
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Breast swelling, Injection site erythema, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling · NauseaFree text: After I took a shower last night, there was redness about the size of a tennis ball around the injection site. Also my lymph nodes under both armpits are slightly swollen, as well as the tissue in both breasts.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Breast swelling, Lymphadenopathy, Tenderness — Feeling: Good · Site: Pain, SwellingFree text: Still slightly swollen lymph nodes in each armpit, and breast tissue.Every now and then its a little tender under the armpit on the side the vaccine was given.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Still swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Lymph nodes under armpit still slightly swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Still swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-06-01
- 2021-08-29
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2021-10-22
Dose 3 — Moderna
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2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased, Fatigue, Nausea — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: I had a fever of 100 the day after my booster. Also had fatigue and nausea on that dayMedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Swollen lymph nodes under breastsMedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Libido decreased, Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Swollen lymph nodes; decreased libidoMedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
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2022-01-21
Survey response — 3 months, dose 3MedDRA: Diarrhoea — Feeling: GoodFree text: DiarrheaMedDRA releases: 2024-11 · check-in free text available
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2022-04-12
Dose 4 — Moderna
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2022-04-14
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, SwellingFree text: Swollen lymph nodes under armpitMedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2022-04-17
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
- 2022-04-18
- 2022-04-21
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-07-12
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2022-10-11
Survey response — 6 months, dose 4MedDRA: Chills, Fatigue, Insomnia, Pain in extremity, Pyrexia — Feeling: GoodFree text: I received the Pfizer bivalent booster Set. 28th, after which I had chills, fever, insomnia, fatigue, and sore armMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-02-28 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-12 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of appetite
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): After I took a shower last night, there was redness about the size of a tennis ball around the injection site. Also my lymph nodes under both armpits are slightly swollen, as well as the tissue in both breasts.
Systemic reaction (other): Still slightly swollen lymph nodes in each armpit, and breast tissue.Every now and then its a little tender under the armpit on the side the vaccine was given.
Systemic reaction (other): Still swollen lymph nodes
Systemic reaction (other): Lymph nodes under armpit still slightly swollen
Release 5 — day 7, dose 2
Systemic reaction (other): Still swollen lymph nodes
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had a fever of 100 the day after my booster. Also had fatigue and nausea on that day
Systemic reaction (other): Swollen lymph nodes under breasts
Systemic reaction (other): Swollen lymph nodes; decreased libido
Release 11 — 3 months, dose 3
Symptoms: Diarrhea
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph nodes under armpit
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Swollen lymph nodes
Release 12 — 6 months, dose 4
Symptoms: I received the Pfizer bivalent booster Set. 28th, after which I had chills, fever, insomnia, fatigue, and sore arm
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 | Chills | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Breast swelling | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Libido decreased | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release