296-12267-51661
2 vaccinations
12 coded responses
23 check-ins
12 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 117 / NY
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-19
Dose 1 — Moderna
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2021-02-20
Registered in v-safe
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2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Neck pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: pain in armpit and side of neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: pain with swollen lymph nodes in neck and under armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: pain in lymph nodes on neck and lymph nodes under armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, NauseaFree text: pain in lymph nodes in neck and under armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: swollen lymph glands in neck and under armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
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2021-03-18
Dose 2 — Moderna
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: pain in lymph glands under armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: pain in glands under my arm (in armpit)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Dizziness, Hypertension — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: pain under arm, light headedness and high blood pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Hypertension, Lymph node pain, Medical counselling — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): very high blood pressure, dizziness, pain in lymph glands under arm · Healthcare visit (other): dr ordered me to stay home to restMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure increased — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: very high blood pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-25
Survey response — day 7, dose 2MedDRA: Cold sweat, Dizziness — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: cold sweats, light headednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 14, dose 2MedDRA: Dizziness, Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: high blood pressure and dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-10
- 2021-04-15
- 2021-04-24
- 2021-04-29
- 2021-06-07
- 2021-06-17
- 2021-09-18
- 2022-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-18 | Moderna |
Call center
4 call center cases
4 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): pain in armpit and side of neck
Systemic reaction (other): pain with swollen lymph nodes in neck and under arm
Systemic reaction (other): pain in lymph nodes on neck and lymph nodes under arm
Systemic reaction (other): pain in lymph nodes in neck and under arm
Release 4 — day 7, dose 1
Systemic reaction (other): swollen lymph glands in neck and under arm
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): pain in lymph glands under arm
Systemic reaction (other): pain in glands under my arm (in armpit)
Systemic reaction (other): pain under arm, light headedness and high blood pressure
Systemic reaction (other): very high blood pressure, dizziness, pain in lymph glands under arm
Healthcare visit (other): dr ordered me to stay home to rest
Systemic reaction (other): very high blood pressure
Release 6 — day 7, dose 2
Systemic reaction (other): cold sweats, light headedness
Release 6 — day 14, dose 2
Symptoms: high blood pressure and dizziness
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release