ZLV-14386-79433
2 vaccinations
7 coded responses
26 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 574 / SD
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
5H9-27922-90143
Child or adolescent in my care · Male · 2022-03-05
Timeline
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2020-12-24
Registered in v-safe
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2020-12-24
Dose 1 — Moderna
- 2020-12-24
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2020-12-25
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Muscle or body achesAdult check-in
- 2020-12-27
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2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Lymphadenopathy — Feeling: GoodFree text: I have pain & swelling in my R armpit, same side as the injection since 12/26. Thought it might from an ill fitting bra I wore on 12/25, but it's not going away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Lymphadenopathy — Feeling: GoodFree text: My injection arm armpit pain & swelling is better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Fatigue or tirednessFree text: Less swelling & pain in armpit of arm that was injected.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-31
Survey response — day 7, dose 1MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Fatigue or tirednessFree text: Improving swelling & pain in the armpit of the injection arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
- 2021-01-14
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2021-01-21
Dose 2 — Moderna
- 2021-01-21
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2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: GoodFree text: Swelling in my injection side armpit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: Swelling in armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-04-22
- 2021-07-22
- 2022-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Systemic reaction (other): I have pain & swelling in my R armpit, same side as the injection since 12/26. Thought it might from an ill fitting bra I wore on 12/25, but it's not going away.
Systemic reaction (other): My injection arm armpit pain & swelling is better today.
Systemic reaction (other): Less swelling & pain in armpit of arm that was injected.
Release 1 — day 7, dose 1
Systemic reaction (other): Improving swelling & pain in the armpit of the injection arm.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling in my injection side armpit.
Systemic reaction (other): Swelling in armpit
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 |
|---|---|---|---|---|
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release