2F9-12283-41296
3 vaccinations
6 coded responses
16 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 812 / CO
- Registered
- 2021-08-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2021-01-25
Dose 2 — Moderna
-
2021-08-20
Registered in v-safe
-
2021-08-20
Dose 3 — Moderna
- 2021-08-20
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2021-08-21
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, DiarrheaFree text: Lymph node swelling under armMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-08-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-08-24
Survey response — days 1–6 daily, dose 3MedDRA: Breast swelling, Lymphadenopathy, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Significant swelling of breast (left, side of injection); breast has doubled in size, swelling under arm, axillary nodes to back)MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Survey response — days 1–6 daily, dose 3MedDRA: Anxiety, Breast swelling, Deformity, Localised oedema, Lymphadenopathy, Lymphoedema, Oedema peripheral — Feeling: Fair · Site: Swelling · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Significant breast swelling (2-3x in size) with swollen lymph nodes and edema under arm radiating to the back. If I werent a physician I would be seeking care. It is very alarming and disfiguring. The degree of lymph edema is significant.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-26
Survey response — days 1–6 daily, dose 3MedDRA: Breast swelling, Lymphadenopathy, Self-medication — Feeling: Fair · Site: Swelling · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Swollen breast and lymph nodes moderate. Treating w Motrin 800 mg and compression wrapMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
Survey response — day 7, dose 3MedDRA: Breast swelling, Lymphadenopathy — Feeling: Good · Site: Swelling · Headache, Muscle or body achesFree text: Ongoing breast swelling moderate;pain mild; ongoing swollen axilla and lymph nodes with edema moderateMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-03
- 2021-09-10
- 2021-09-18
- 2021-09-26
- 2021-10-01
- 2021-11-20
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2022-02-18
Survey response — 6 months, dose 3MedDRA: Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: 4 weeks of sore throat; COVID negativeMedDRA releases: 2024-11 · check-in free text available
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2022-02-18
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-24
- 2022-08-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | No |
| 2 | 2021-01-25 | Moderna | No |
| 3 | 2021-08-20 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Lymph node swelling under arm
Systemic reaction (other): Significant swelling of breast (left, side of injection); breast has doubled in size, swelling under arm, axillary nodes to back)
Systemic reaction (other): Significant breast swelling (2-3x in size) with swollen lymph nodes and edema under arm radiating to the back. If I werent a physician I would be seeking care. It is very alarming and disfiguring. The degree of lymph edema is significant.
Systemic reaction (other): Swollen breast and lymph nodes moderate. Treating w Motrin 800 mg and compression wrap
Release 9 — day 7, dose 3
Systemic reaction (other): Ongoing breast swelling moderate;pain mild; ongoing swollen axilla and lymph nodes with edema moderate
Release 11 — 6 months, dose 3
Symptoms: 4 weeks of sore throat; COVID negative
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 | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Anxiety | ✓ | · | ✓ |
| SRO | Breast swelling | ✓ | · | ✓ |
| SRO | Deformity | ✓ | · | ✓ |
| SRO | Localised oedema | ✓ | · | ✓ |
| SRO | Lymphadenopathy | ✓ | · | ✓ |
| SRO | Lymphoedema | ✓ | · | ✓ |
| SRO | Oedema peripheral | ✓ | · | ✓ |
| SRO | Self-medication | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release