Z3Q-18560-97097
2 vaccinations
4 coded responses
16 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 210 / MD
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
-
2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Right axillary lymph node swelling and tendernessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-05
Survey response — day 7, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Swollen and tender right axillary lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-19
- 2021-01-26
-
2021-01-28
Dose 2 — Moderna
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Headache, Nausea, Pain, Pyrexia — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: 12 hours after getting the 2nd dose, I experienced fever (38.1 C), chills, headache, moderate to severe body aches, nausea, and fatigue. These symptoms subsided with 24 hours after getting the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-04
- 2021-02-13
- 2021-02-18
- 2021-07-31
-
2022-01-28
Survey response — 12 months, dose 2MedDRA: COVID-19, Chills, Nasal congestion, Office visit, Pain, Pyrexia, Upper-airway cough syndrome — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Fever, chills, body aches, nasal congestion, and post nasal drip related to SARS-COV-2 infection. · Healthcare visit (other): Routine dental examMedDRA releases: 2024-11 · check-in free text available
-
2022-01-28
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-28 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Right axillary lymph node swelling and tenderness
Release 1 — day 7, dose 1
Systemic reaction (other): Swollen and tender right axillary lymph nodes
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): 12 hours after getting the 2nd dose, I experienced fever (38.1 C), chills, headache, moderate to severe body aches, nausea, and fatigue. These symptoms subsided with 24 hours after getting the vaccine.
Release 11 — 12 months, dose 2
Symptoms: Fever, chills, body aches, nasal congestion, and post nasal drip related to SARS-COV-2 infection.
Healthcare visit (other): Routine dental exam
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release