YWG-49189-11743
3 vaccinations
5 coded responses
40 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 080 / NJ
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-06
Dose 1 — Moderna
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen neck lymph node on left side. Same side as vaccine. Nothing swollen on right side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen neck lymph node on same side as shot, left side. 2nd day that it is present. It is the only 1 that I have found so far.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen neck lymph node on left side same side as shot. Half size smaller today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-27
-
2021-04-03
Dose 2 — Moderna
- 2021-04-03
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Fall, Feeling abnormal, Head injury, Loss of consciousness, Syncope, Tinnitus, Visual impairment — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Loss of consciousness/fainted last night at 10:30 PM while standing up In the bathroom. Very light headed / dizzy / yellow tinted, sparkly and bright vision as well as ringing in the ears leading up to fainting. Also confusion, I remember thinking I should get on the ground and next thing I know Im coming to on the ground. I have what seems to be lighter concussion symptoms as I hit my head on door handles and the tile floor going down. This was 12 hours after 2nd dose. Other than being in a bit of a fog today I think it could have been a lot worse if I didnt fall into doors on my way down. Feel better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-07-03
- 2021-10-02
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2021-10-29
Dose 3 — ModernaCo-administered: Flu
- 2021-10-29
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache · Be unable to work or attend schoolAdult check-in
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
- 2022-04-30
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2022-10-29
Survey response — 12 months, dose 3MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna | |
| 3 | 2021-10-29 | Moderna | Flu |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen neck lymph node on left side. Same side as vaccine. Nothing swollen on right side.
Systemic reaction (other): Swollen neck lymph node on same side as shot, left side. 2nd day that it is present. It is the only 1 that I have found so far.
Release 5 — day 7, dose 1
Systemic reaction (other): Swollen neck lymph node on left side same side as shot. Half size smaller today.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of consciousness/fainted last night at 10:30 PM while standing up In the bathroom. Very light headed / dizzy / yellow tinted, sparkly and bright vision as well as ringing in the ears leading up to fainting. Also confusion, I remember thinking I should get on the ground and next thing I know Im coming to on the ground. I have what seems to be lighter concussion symptoms as I hit my head on door handles and the tile floor going down. This was 12 hours after 2nd dose. Other than being in a bit of a fog today I think it could have been a lot worse if I didnt fall into doors on my way down. Feel better today.
Release 12 — 12 months, dose 3
Symptoms: Sore throat
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 | Oropharyngeal pain | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fall | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Head injury | ✓ | ✓ | ✓ |
| SRO | Loss of consciousness | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release