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ZLA-25397-83354

3 vaccinations 4 coded responses 13 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
970 / OR
Registered
2021-02-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
KTG-21721-20222 Child or adolescent in my care · Male · 2021-12-04
NFJ-12950-69699 Child or adolescent in my care · Female · 2021-12-04

Timeline

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-02-03
    Registered in v-safe
  3. 2021-02-03
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Feeling abnormal, Injection site rash, Lymphadenopathy — Feeling: Good
    Free text: 1/27/21: swollen lymph node on left neck, quarter-size, above the collarbone. Still there, no change in size. 1/28/21: rash on left arm, where the vaccine was administered, approximately 1.5 W x 3 H, lasted for approx. 3 days. More tired/foggy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-17
    Dose 2 — Moderna
  6. 2021-02-24
    Survey response — day 7, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-03-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-03-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-08-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-11-08
    Dose 3 — Pfizer-BioNTech
  15. 2021-12-04
    Survey response — day 21, dose 3
    MedDRA: Lymphadenopathy, Somnolence — Feeling: Good
    Free text: The day after the 3rd dose, I felt groggy and the lymph node under my left armpit (same side as the shot) was extremely swollen for 4 days.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-02-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-05-09
    Survey response — 6 months, dose 3
    MedDRA: Nasal congestion, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school
    Free text: I rested positive for Covid on 4/28/22. I am still getting over a stuffy nose, but 98%.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-17Moderna
32021-11-08Pfizer-BioNTech No

Free text

Release 3 — day 14, dose 1

2021-02-03

Symptoms: 1/27/21: swollen lymph node on left neck, quarter-size, above the collarbone. Still there, no change in size. 1/28/21: rash on left arm, where the vaccine was administered, approximately 1.5 W x 3 H, lasted for approx. 3 days. More tired/foggy

Release 4 — day 7, dose 2

2021-02-24

Systemic reaction (other): Dizziness

Release 10 — day 21, dose 3

2021-12-04

Symptoms: The day after the 3rd dose, I felt groggy and the lymph node under my left armpit (same side as the shot) was extremely swollen for 4 days.

Release 11 — 6 months, dose 3

2022-05-09

Symptoms: I rested positive for Covid on 4/28/22. I am still getting over a stuffy nose, but 98%.

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
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDNasal congestion · · ✓
SDSARS-CoV-2 test positive · · ✓
SDSomnolence · · ✓
SRODizziness ✓ ✓ ✓

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