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YRL-27287-76089

2 vaccinations 10 coded responses 17 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
982 / WA
Registered
2021-01-22
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-01-22
    Registered in v-safe
  3. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-29
    Survey response — day 14, dose 1
    MedDRA: Pruritus, Rash — Feeling: Fair · Be unable to work
    Free text: Extremely itchy skin, many colorless bumps that appear when the skin is scratched. Bumps stay for days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-08
    Survey response — day 21, dose 1
    MedDRA: Pruritus — Feeling: Fair
    Free text: Still itchy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-11
    Dose 2 — Moderna
  7. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  8. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Swollen lymph nodes in neck and armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain
    Free text: Swollen and painful lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness
    Free text: Swollen Lymph Nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  13. 2021-02-25
    Survey response — day 14, dose 2
    MedDRA: Injection site warmth — Feeling: Fair
    Free text: Injection site shoulder was very hot to the touch today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-11
    Survey response — day 28, dose 2
    MedDRA: Abdominal pain upper — Feeling: Fair
    Free text: Severe stomach pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-18
    Survey response — day 35, dose 2
    MedDRA: Abdominal mass, Induration — Feeling: Fair
    Free text: Hard lump in groin area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-05-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-02-11
    Survey response — 12 months, dose 2
    MedDRA: Injection site pain, Pain — Feeling: Fair
    Free text: Arm that I got my shots in sometimes gets shooting pains just below the area of the injection sight
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-11Moderna

Free text

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Extremely itchy skin, many colorless bumps that appear when the skin is scratched. Bumps stay for days.

Release 3 — day 21, dose 1

2021-02-08

Symptoms: Still itchy

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Swollen lymph nodes in neck and armpit

2021-02-15

Systemic reaction (other): Swollen and painful lymph nodes

2021-02-16

Systemic reaction (other): Swollen lymph nodes

2021-02-17

Systemic reaction (other): Swollen Lymph Nodes

Release 4 — day 14, dose 2

2021-02-25

Symptoms: Injection site shoulder was very hot to the touch today

Release 5 — day 28, dose 2

2021-03-11

Symptoms: Severe stomach pain

Release 5 — day 35, dose 2

2021-03-18

Symptoms: Hard lump in groin area

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: Arm that I got my shots in sometimes gets shooting pains just below the area of the injection sight

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
SDAbdominal mass ✓ ✓ ✓
SDAbdominal pain upper ✓ ✓ ✓
SDInduration ✓ ✓ ✓
SDInjection site pain · · ✓
SDInjection site warmth ✓ ✓ ✓
SDPain · · ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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

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