2AT-71259-26792
3 vaccinations
4 coded responses
27 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 023 / MA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Moderna
- 2021-03-31
- 2021-04-01
- 2021-04-03
- 2021-04-04
-
2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Neck mass — Feeling: GoodFree text: Pain in left armpit (left shoulder was injection site). Lump noticed on left clavical near base of neck.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Joint painsFree text: Continued perceived lymph node swelling on injection side (left) in armpit as well as clavicle at base of neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
-
2021-04-28
Dose 2 — Moderna
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-05-02
- 2021-05-06
- 2021-05-12
- 2021-05-19
- 2021-05-28
- 2021-06-02
- 2021-06-09
- 2021-07-28
-
2021-10-28
Survey response — 6 months, dose 2MedDRA: Appendicitis, Hospitalisation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Mild acute appendicitis treated in hospital with 48hr of IV antibiotics followed by 10 day oral antibiotics at homeMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-10-29
-
2021-12-14
Dose 3 — Moderna
-
2021-12-22
Survey response — day 7, dose 3MedDRA: Chills, Lymphadenopathy, Pyrexia — Feeling: GoodFree text: Not reported previously. Day after injection 102 degree fever and chills. 2 days after swollen lymph glands in armpit under arm that received injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-28
- 2022-01-04
- 2022-01-13
- 2022-01-20
- 2022-01-27
- 2022-03-15
- 2022-06-17
- 2022-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-12-14 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Pain in left armpit (left shoulder was injection site). Lump noticed on left clavical near base of neck.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Continued perceived lymph node swelling on injection side (left) in armpit as well as clavicle at base of neck
Release 10 — 6 months, dose 2
Symptoms: Mild acute appendicitis treated in hospital with 48hr of IV antibiotics followed by 10 day oral antibiotics at home
Release 10 — day 7, dose 3
Systemic reaction (other): Not reported previously. Day after injection 102 degree fever and chills. 2 days after swollen lymph glands in armpit under arm that received injection
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 | Appendicitis | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Neck mass | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release