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YSD-25587-97973

3 vaccinations 11 coded responses 37 check-ins 11 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
079 / NJ
Registered
2021-01-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
9Z6-33638-45979 Child or adolescent in my care · Female · 2021-11-08

Timeline

  1. 2021-01-22
    Registered in v-safe
  2. 2021-01-22
    Dose 1 — Moderna
  3. 2021-01-22
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Nausea
    Adult check-in
  5. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  10. 2021-01-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-05
    Survey response — day 14, dose 1
    MedDRA: Nausea, Pain in extremity, Pruritus — Feeling: Good
    Free text: Very sore arm and itchiness about 10 days after vaccine. Also some light queasiness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-19
    Dose 2 — Moderna
  14. 2021-02-19
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  15. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  16. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness
    Free text: Lots of swollen lymph nodes in armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching · Joint pains
    Free text: Swollen lymph nodes in armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Headache
    Free text: Swollen lymph nodes in armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Headache
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-04
    Dose 3 — Moderna
  30. 2021-11-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Extremely swollen armpit lymph nodes
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Extremely swollen and sore armpit on side of vax. Swelling is size of a lemon.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy, Pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Nausea
    Free text: Very sore and very swollen armpit lymph nodes
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy, Swelling — Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Free text: Swelling and pain from swollen lymph nodes in armpit
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-11-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Headache
    Free text: Pain and swelling in armpit
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache
    Free text: Sore armpit from swollen lymph nodes
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-04
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-18
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-02-03
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-19Moderna
32021-11-04Moderna No

Free text

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Very sore arm and itchiness about 10 days after vaccine. Also some light queasiness.

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Lots of swollen lymph nodes in armpit

2021-02-22

Systemic reaction (other): Swollen lymph nodes in armpit

2021-02-23

Systemic reaction (other): Swollen lymph nodes in armpit

2021-02-24

Systemic reaction (other): Swollen lymph nodes

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): Extremely swollen armpit lymph nodes

2021-11-06

Systemic reaction (other): Extremely swollen and sore armpit on side of vax. Swelling is size of a lemon.

2021-11-07

Systemic reaction (other): Very sore and very swollen armpit lymph nodes

2021-11-08

Systemic reaction (other): Swelling and pain from swollen lymph nodes in armpit

2021-11-09

Systemic reaction (other): Pain and swelling in armpit

2021-11-10

Systemic reaction (other): Sore armpit from swollen lymph nodes

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
SDNausea ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SROAxillary pain · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy ✓ ✓ ✓
SROOedema peripheral · · ✓
SROPain · · ✓
SROSwelling · · ✓

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