2FD-43970-09598
1 vaccination
2 coded responses
3 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 606 / IL
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-02-22
Dose 1 — Moderna
-
2021-03-01
Registered in v-safe
-
2021-03-03
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph node in armpit on side of injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
-
2021-08-23
Survey response — 6 months, dose 1MedDRA: Abdominal pain — 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 visitFree text: Severe abdominal painMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-23
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-23 | Unsuccessful |
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Swollen lymph node in armpit on side of injection
Release 9 — 6 months, dose 1
Symptoms: Severe abdominal pain
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 | Abdominal pain | ✓ | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release