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ZUS-14538-15879

3 vaccinations 8 coded responses 33 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
500 / IA
Registered
2021-03-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
2MG-31299-13921 Child or adolescent in my care · Female · 2021-11-07
YY8-15312-43551 Child or adolescent in my care · Female · 2021-11-07

Timeline

  1. 2021-03-09
    Dose 1 — Moderna
  2. 2021-03-22
    Registered in v-safe
  3. 2021-03-22
    Survey response — day 7, dose 1
    MedDRA: Injection site erythema, Injection site rash, Rash erythematous, Rash pruritic — Feeling: Fair · Site: Redness, Itching
    Free text: I have a large red rash surrounding my injection site thats really itchy. It has been that way for a week now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-06
    Dose 2 — Moderna
  7. 2021-04-06
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Just got the shot. Ill know more tomorrow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain, Pain — Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Pain at injection site. I cant lift my arm above my shoulder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I usually run around 97.4 for temp so anything above 99 is high for me
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches
    Adult check-in
  11. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Rash, not including the immediate area around the injection site
    Adult check-in
  12. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  13. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Fever · None
    Adult check-in
  14. 2021-04-13
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  15. 2021-04-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-11-03
    Dose 3 — Pfizer-BioNTech
  23. 2021-11-03
    Health check-in — day 0, dose 3
    Feeling: Good · Headache
    Adult check-in
  24. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Headache
    Adult check-in
  25. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · None
    Adult check-in
  26. 2021-11-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities
    Free text: Lymph node swelling under arm area. Same side where vaccine was administered. It was like that yesterday but didn't know what it was.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain — Feeling: Fair · Site: Pain
    Free text: Lymph nodes on right hand side where I got the shot still hurts but pain is starting to subside.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-11-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain — Feeling: Good
    Free text: Lymph node pain is almost gone. I would guess it would be gone within the next few days.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain — Feeling: Good
    Free text: Still some lymph node pain under armpit area on the same side as my injection site
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-09
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-05-04
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-11-03
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Moderna
22021-04-06Moderna
32021-11-03Pfizer-BioNTech No

Free text

Release 6 — day 7, dose 1

2021-03-22

Systemic reaction (other): I have a large red rash surrounding my injection site thats really itchy. It has been that way for a week now.

Release 7 — day 0, dose 2

2021-04-06

Systemic reaction (other): Just got the shot. Ill know more tomorrow

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Pain at injection site. I cant lift my arm above my shoulder

2021-04-08

Systemic reaction (other): I usually run around 97.4 for temp so anything above 99 is high for me

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): Lymph node swelling under arm area. Same side where vaccine was administered. It was like that yesterday but didn't know what it was.

2021-11-07

Systemic reaction (other): Lymph nodes on right hand side where I got the shot still hurts but pain is starting to subside.

2021-11-08

Systemic reaction (other): Lymph node pain is almost gone. I would guess it would be gone within the next few days.

2021-11-09

Systemic reaction (other): Still some lymph node pain under armpit area on the same side as my injection site

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
SROInjection site erythema ✓ ✓ ○
SROInjection site pain ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROPain ✓ ✓ ✓
SRORash erythematous · · ✓
SRORash pruritic · · ✓
SROUnevaluable event ✓ ✓ ✓

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