ZPF-19662-45686
3 vaccinations
8 coded responses
40 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 816 / CO
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 1 — Moderna
-
2021-04-02
Survey response — day 0, dose 1MedDRA: Injection site haemorrhage — Feeling: Good · Site: PainFree text: Bleeding at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
-
2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: Small bruise at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-08
-
2021-04-09
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: My Supraclavicular lymph nodes on the side of injection site have been swollen for the past two days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash, Lymphadenopathy — Feeling: GoodFree text: Itchiness and rash on and around injection site. My supraclavicular lymph nodes are still swollen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
-
2021-04-29
Dose 2 — Moderna
- 2021-04-29
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-01
-
2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, RednessFree text: My supraclavicular lymph nodes are stilli swollen from first injection (on left side, which is the side of first injection on left arm.... second injection was on right arm).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, ItchingFree text: Still have swollen supraclavicular lymph nodes (on the left side only from first shot).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, ItchingFree text: Supraclavicular lymph nodes are still swollen (from first injection site on left side only)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: ItchingFree text: Supraclavicular lymph nodes from Sid rod the first dose still swollen, but not as swollen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-05-21
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
- 2021-10-28
-
2021-11-18
Dose 3 — Moderna
- 2021-11-18
-
2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-11-20
-
2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-11-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-02-17
- 2022-05-22
- 2022-11-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Bleeding at injection site.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Small bruise at injection site
Release 7 — day 7, dose 1
Systemic reaction (other): My Supraclavicular lymph nodes on the side of injection site have been swollen for the past two days.
Release 7 — day 14, dose 1
Symptoms: Itchiness and rash on and around injection site. My supraclavicular lymph nodes are still swollen.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): My supraclavicular lymph nodes are stilli swollen from first injection (on left side, which is the side of first injection on left arm.... second injection was on right arm).
Systemic reaction (other): Still have swollen supraclavicular lymph nodes (on the left side only from first shot).
Systemic reaction (other): Supraclavicular lymph nodes are still swollen (from first injection site on left side only)
Release 8 — day 7, dose 2
Systemic reaction (other): Supraclavicular lymph nodes from Sid rod the first dose still swollen, but not as swollen.
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 | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site haemorrhage | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release