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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

  1. 2021-02-19
    Dose 1 — Moderna
  2. 2021-02-20
    Registered in v-safe
  3. 2021-02-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: pain in armpit and side of neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: 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 activities
    Adult check-in
  5. 2021-02-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: pain with swollen lymph nodes in neck and under arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: pain in lymph nodes on neck and lymph nodes under arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymph node pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: pain in lymph nodes in neck and under arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-26
    Survey response — day 7, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: swollen lymph glands in neck and under arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-18
    Dose 2 — Moderna
  12. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  13. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: pain in lymph glands under arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: pain in glands under my arm (in armpit)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 consultation
    Free text: pain under arm, light headedness and high blood pressure
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-22
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 professional
    Free 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 rest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-23
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 visit
    Free text: very high blood pressure
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-24
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-03-25
    Survey response — day 7, dose 2
    MedDRA: Cold sweat, Dizziness — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: cold sweats, light headedness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-01
    Survey response — day 14, dose 2
    MedDRA: Dizziness, Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: high blood pressure and dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-01
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-04-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-06-07
  29. 2021-06-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-09-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-03-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-19Moderna
22021-03-18Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): pain in armpit and side of neck

2021-02-22

Systemic reaction (other): pain with swollen lymph nodes in neck and under arm

2021-02-23

Systemic reaction (other): pain in lymph nodes on neck and lymph nodes under arm

2021-02-24

Systemic reaction (other): pain in lymph nodes in neck and under arm

Release 4 — day 7, dose 1

2021-02-26

Systemic reaction (other): swollen lymph glands in neck and under arm

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): pain in lymph glands under arm

2021-03-21

Systemic reaction (other): pain in glands under my arm (in armpit)

2021-03-22

Systemic reaction (other): pain under arm, light headedness and high blood pressure

2021-03-23

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

2021-03-24

Systemic reaction (other): very high blood pressure

Release 6 — day 7, dose 2

2021-03-25

Systemic reaction (other): cold sweats, light headedness

Release 6 — day 14, dose 2

2021-04-01

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDHypertension ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROBlood pressure increased ✓ ✓ ✓
SROCold sweat ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHypertension ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓

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