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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

  1. 2021-03-31
    Registered in v-safe
  2. 2021-03-31
    Dose 1 — Moderna
  3. 2021-03-31
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Neck mass — Feeling: Good
    Free 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
  8. 2021-04-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Joint pains
    Free text: Continued perceived lymph node swelling on injection side (left) in armpit as well as clavicle at base of neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-28
    Dose 2 — Moderna
  12. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to work
    Adult check-in
  13. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-28
    Survey response — 6 months, dose 2
    MedDRA: 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, Hospitalization
    Free text: Mild acute appendicitis treated in hospital with 48hr of IV antibiotics followed by 10 day oral antibiotics at home
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-10-28
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  23. 2021-10-29
  24. 2021-12-14
    Dose 3 — Moderna
  25. 2021-12-22
    Survey response — day 7, dose 3
    MedDRA: Chills, Lymphadenopathy, Pyrexia — Feeling: Good
    Free text: Not reported previously. Day after injection 102 degree fever and chills. 2 days after swollen lymph glands in armpit under arm that received injection
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-12-28
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  27. 2022-01-04
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-01-13
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-01-20
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-01-27
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-03-15
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-06-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-12-16
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-28Moderna
32021-12-14Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

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

2021-04-06

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

2021-10-28

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

2021-12-22

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

FieldPreferred term2021-092023-042024-11
SDAppendicitis · · ✓
SDHospitalisation · · ✓
SROAxillary pain ✓ ✓ ✓
SROChills · · ✓
SROLymphadenopathy ✓ ✓ ✓
SRONeck mass ✓ ✓ ✓
SROPyrexia · · ✓

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