YXR-10004-12065
3 vaccinations
6 coded responses
40 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 652 / MO
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Moderna
- 2021-03-15
-
2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
-
2021-03-22
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-29
-
2021-04-05
Survey response — day 21, dose 1MedDRA: Hypersensitivity, Rhinorrhoea, Scratch — Feeling: GoodFree text: Allergy symptoms- scratchy throat, nasal drainage. No fever. Not lethargic.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Dose 2 — Moderna
- 2021-04-12
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · HeadacheAdult check-in
- 2021-04-17
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-07-12
- 2021-10-11
-
2021-11-20
Dose 3 — Moderna
- 2021-11-20
-
2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Left Axillary lymph node enlargement (left arm was injected)MedDRA releases: 2024-11 · check-in free text available
-
2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tirednessFree text: Swollen and painful axillary lymph node (same side as injection)MedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: Swollen axillary lymph node (same arm as vaccine) but has decreased in sizeMedDRA releases: 2024-11 · check-in free text available
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2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling, ItchingFree text: Axillary lymph node swelling in same arm as injection, which is mild and improvingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2021-11-26
- 2021-11-27
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2021-12-04
Survey response — day 14, dose 3MedDRA: Malaise, Nasopharyngitis, Oropharyngeal pain, Pyrexia, Rhinitis, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold symptoms- sore throat, post nasal drip, rhinitis, malaise, low grade fever.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-02-19
- 2022-05-21
- 2022-11-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-11-20 | Moderna | No |
Free text
Release 6 — day 21, dose 1
Symptoms: Allergy symptoms- scratchy throat, nasal drainage. No fever. Not lethargic.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Left Axillary lymph node enlargement (left arm was injected)
Systemic reaction (other): Swollen and painful axillary lymph node (same side as injection)
Systemic reaction (other): Swollen axillary lymph node (same arm as vaccine) but has decreased in size
Systemic reaction (other): Axillary lymph node swelling in same arm as injection, which is mild and improving
Release 10 — day 14, dose 3
Symptoms: Cold symptoms- sore throat, post nasal drip, rhinitis, malaise, low grade fever.
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 | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinitis | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Scratch | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release