Y9E-11414-55169
4 vaccinations
4 coded responses
51 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 752 / TX
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-12
- 2021-08-11
-
2021-10-28
Dose 3 — ModernaCo-administered: Flu
- 2021-10-28
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Axillary mass — Feeling: Good · Site: Pain · Muscle or body achesFree text: Soft lump in armpit on COVID vaccine sideMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Axillary mass — Feeling: GoodFree text: Still soft lump in armpit of Covid shot arm that wasn't there before the shot. But noticed the same thing after the initial shots in Jan and Feb.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Axillary mass — Feeling: GoodFree text: Still lump in armpit of COVID shot arm.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
-
2022-04-28
Survey response — 6 months, dose 3MedDRA: COVID-19, Cough, Headache, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I contacted COVID. Symptoms of headache, slight fever for about two days, extremely sore throat for about three days, a minor cough for about two weeks, but no respiratory issues at all. From start of symptoms to fully normal was about two weeks.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-25
Dose 4 — Moderna
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-09
- 2022-07-16
- 2022-08-01
- 2022-08-06
- 2022-09-24
- 2022-12-24
- 2023-06-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-10-28 | Moderna | Flu |
| 4 | 2022-06-25 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Soft lump in armpit on COVID vaccine side
Systemic reaction (other): Still soft lump in armpit of Covid shot arm that wasn't there before the shot. But noticed the same thing after the initial shots in Jan and Feb.
Systemic reaction (other): Still lump in armpit of COVID shot arm.
Release 11 — 6 months, dose 3
Symptoms: I contacted COVID. Symptoms of headache, slight fever for about two days, extremely sore throat for about three days, a minor cough for about two weeks, but no respiratory issues at all. From start of symptoms to fully normal was about two weeks.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Axillary mass | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release