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ZAD-25417-71070

1 vaccination 4 coded responses 11 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
777 / TX
Registered
2021-03-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-09
    Registered in v-safe
  2. 2021-03-09
    Dose 1 — Moderna
  3. 2021-03-09
    Health check-in — day 0, dose 1
    Feeling: Fair · Fever · Chills, Muscle or body aches
    Adult check-in
  4. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Nausea
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Muscle or body aches, Nausea
    Adult check-in
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Nausea
    Adult check-in
  9. 2021-03-26
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-03-30
    Survey response — day 21, dose 1
    MedDRA: Chills, Fatigue, Tremor — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Chills and shaking. Very fatigued. Might be something other than the vaccine. Not sure
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-10
    Survey response — 3 months, dose 1
    MedDRA: Axillary mass, Pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Developed a sore limp under my armpit. Was very painful and finally sissies after four days. My husband who also had moderna recently had very swollen lymph gland in neck. One side of his face was huge and it was hard. Took about eight days to re
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-09-07
    Survey response — 6 months, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair
    Free text: Lymph node under left arm swells and is very painful for about 2 days at a time.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-03-09
    Survey response — 12 months, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair
    Free text: Occasional lymph gland swelling under left arm pit
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Moderna

Free text

Release 6 — day 21, dose 1

2021-03-30

Symptoms: Chills and shaking. Very fatigued. Might be something other than the vaccine. Not sure

Release 9 — 3 months, dose 1

2021-06-10

Symptoms: Developed a sore limp under my armpit. Was very painful and finally sissies after four days. My husband who also had moderna recently had very swollen lymph gland in neck. One side of his face was huge and it was hard. Took about eight days to re cut off by CDC

Release 9 — 6 months, dose 1

2021-09-07

Symptoms: Lymph node under left arm swells and is very painful for about 2 days at a time.

Release 11 — 12 months, dose 1

2022-03-09

Symptoms: Occasional lymph gland swelling under left arm pit

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
SDAxillary mass ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDLymph node pain · · ✓
SDLymphadenopathy · · ✓
SDPain ✓ ✓ ✓
SDTremor ✓ ✓ ✓

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