Z6P-15682-87506
4 vaccinations
9 coded responses
51 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 917 / CA
- Registered
- 2021-02-21
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Dose 1 — Moderna
-
2021-02-21
Registered in v-safe
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
-
2021-02-25
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen underarm lymph node. Not debilitating, but annoying. Noticed yesterday. Will keep an eye on it over the next week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-11
-
2021-03-18
Dose 2 — Moderna
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Swollen lymph nodes, just like 1st shot, but not terribleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-06-17
- 2021-09-16
-
2021-11-05
Dose 3 — Moderna
-
2021-11-05
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tirednessFree text: Underarm swelling & pain (expected)MedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: GoodFree text: Still sore underarmMedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: GoodFree text: Slightly less sore underarmMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: GoodFree text: Underarm not too sore anymoreMedDRA releases: 2024-11 · check-in free text available
- 2021-11-10
- 2021-11-11
- 2021-11-12
-
2021-11-19
Survey response — day 14, dose 3MedDRA: Rash, Self-medication — Feeling: GoodFree text: Rash/hives on neck, shoulders, chest, back & legs. Lasted a few days. Took Zyrtec for symptoms and rash dissipated.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
- 2022-05-06
-
2022-10-17
Dose 4 — Pfizer-BioNTech
-
2022-10-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-19
Survey response — days 1–6 daily, dose 4MedDRA: Tenderness — Feeling: GoodFree text: Tenderness underarm on injection sideMedDRA releases: 2024-11 · check-in free text available
-
2022-10-20
Survey response — days 1–6 daily, dose 4MedDRA: Tenderness — Feeling: GoodFree text: Slight tenderness underarm on injection sideMedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-15
- 2022-11-21
- 2022-11-28
- 2023-01-16
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-18 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-10-17 | Pfizer-BioNTech | No |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Swollen underarm lymph node. Not debilitating, but annoying. Noticed yesterday. Will keep an eye on it over the next week.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes, just like 1st shot, but not terrible
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Underarm swelling & pain (expected)
Systemic reaction (other): Still sore underarm
Systemic reaction (other): Slightly less sore underarm
Systemic reaction (other): Underarm not too sore anymore
Release 10 — day 14, dose 3
Symptoms: Rash/hives on neck, shoulders, chest, back & legs. Lasted a few days. Took Zyrtec for symptoms and rash dissipated.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Tenderness underarm on injection side
Systemic reaction (other): Slight tenderness underarm on injection side
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 | Rash | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release