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2X3-80414-31327

4 vaccinations 10 coded responses 39 check-ins 10 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
725 / AR
Registered
2021-02-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-14
    Dose 1 — Moderna
  2. 2021-02-19
    Registered in v-safe
  3. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-21
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-07
    Survey response — day 21, dose 1
    MedDRA: Lymphadenopathy, Specialist consultation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Swollen lymph node on left collarbone .. felt week adter first vaccination, and reading now it's a possible side effect of the vaccine. PCP put me on ABX this past Thursday, for 10 days .. but now i think it could be from the vaccine. · Healthcare visit (other): Appointment with my PCP
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-07
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-03-14
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-16
    Dose 2 — Moderna
  11. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site swelling — Feeling: Good · Site: Redness, Itching
    Free text: Swelling at injection site arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  13. 2021-03-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-22
    Dose 3 — Moderna
  22. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  23. 2021-10-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-11-05
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-11-12
    Survey response — day 21, dose 3
    MedDRA: Lymphadenopathy, Pain, Tenderness — Feeling: Good
    Free text: Swollen gland at collarbone on injection side 3 days after booster I forgot to teport. Initially tender for a couple days. Still there, bit sore. A couple swollen gland under each side of jaw as of Nov 9th or 10th, and tender, hurt if I lean over.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-19
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-11-26
  29. 2021-11-29
    Call successful
    Does not wish to fill out VAERS report
  30. 2021-12-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-01-21
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-04-01
    Dose 4 — Moderna
  33. 2022-04-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Nausea · Be unable to do your normal daily activities
    Adult check-in
  34. 2022-04-03
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea
    Free text: Swollen, tender lymph node ar collarbone on same side as injection
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-04-04
    Survey response — days 1–6 daily, dose 4
    MedDRA: Injection site swelling, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling
    Free text: 2nd swollen lymph node at collarbone on injection side, both nodes are very tender, and upper arm some swollen on injection side.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-04-05
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Swelling
    Free text: Just lymph node tenderness, left clavicle samemside as injection.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-04-06
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy, Peripheral swelling — Feeling: Good · Site: Swelling
    Free text: Other than slight arm swelling, i still have swollen lymph nodes at my left collar bone, on my infection side
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-04-07
    Survey response — days 1–6 daily, dose 4
    MedDRA: Injection site swelling, Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Swelling
    Free text: Still have a tender, enlarved lymph node on same side as injection site, and some swelling of my injection site upper arm.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-04-08
    Survey response — day 7, dose 4
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Swelling
    Free text: Still have tender, swollen, lymph node at collarbone on same side as my injection
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-04-15
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-04-22
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-04-29
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-05-06
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-05-13
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-07-01
    Survey response — 3 months, dose 4
    MedDRA: Cough, Headache, Pre-existing disease — Feeling: Fair
    Free text: Headaches and a chronix cough..doctor suspects allergies.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-09-30
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  47. 2023-04-01
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-14Moderna
22021-03-16Moderna
32021-10-22Moderna No
42022-04-01Moderna No

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 21, dose 1

2021-03-07

Symptoms: Swollen lymph node on left collarbone .. felt week adter first vaccination, and reading now it's a possible side effect of the vaccine. PCP put me on ABX this past Thursday, for 10 days .. but now i think it could be from the vaccine.
Healthcare visit (other): Appointment with my PCP

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Swelling at injection site arm

Release 10 — day 21, dose 3

2021-11-12

Symptoms: Swollen gland at collarbone on injection side 3 days after booster I forgot to teport. Initially tender for a couple days. Still there, bit sore. A couple swollen gland under each side of jaw as of Nov 9th or 10th, and tender, hurt if I lean over.

Release 11 — days 1–6 daily, dose 4

2022-04-03

Systemic reaction (other): Swollen, tender lymph node ar collarbone on same side as injection

2022-04-04

Systemic reaction (other): 2nd swollen lymph node at collarbone on injection side, both nodes are very tender, and upper arm some swollen on injection side.

2022-04-05

Systemic reaction (other): Just lymph node tenderness, left clavicle samemside as injection.

2022-04-06

Systemic reaction (other): Other than slight arm swelling, i still have swollen lymph nodes at my left collar bone, on my infection side

2022-04-07

Systemic reaction (other): Still have a tender, enlarved lymph node on same side as injection site, and some swelling of my injection site upper arm.

Release 11 — day 7, dose 4

2022-04-08

Systemic reaction (other): Still have tender, swollen, lymph node at collarbone on same side as my injection

Release 12 — 3 months, dose 4

2022-07-01

Symptoms: Headaches and a chronix cough..doctor suspects allergies.

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
HCVOSpecialist consultation ✓ ✓ ✓
SDCough · · ✓
SDHeadache · · ✓
SDLymphadenopathy ✓ ✓ ✓
SDPain · · ✓
SDPre-existing disease · · ✓
SDTenderness · · ✓
SROInjection site swelling ✓ ✓ ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROPeripheral swelling · · ✓

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