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36Q-15330-91376

2 vaccinations 5 coded responses 7 check-ins 5 free-text entries 1 call case
Sex
Male
Age at first dose
31-35
ZIP prefix
770 / TX
Registered
2021-01-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-04
    Dose 1 — Moderna
  2. 2021-01-06
    Registered in v-safe
  3. 2021-02-01
    Dose 2 — Moderna
  4. 2021-02-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea, SARS-CoV-2 test negative — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): Shortness of breath which I also felt after the first dose (this made me concerned so I got tested for Covid today as well but that was negative) · Healthcare visit (other): Went for Covid test due to shortness of breath but that returned negative
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-02
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-02-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Lymphadenopathy, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: Severe axillary lymphadenopathy with swelling and erythema of the axilla extending almost to the biceps anteriorly
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness · Rash, not including the immediate area around the injection site
    Free text: Axillary Lymphadenopathy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Improving axillary adenopathy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-16
    Survey response — day 42, dose 2
    MedDRA: Tenderness — Feeling: Good
    Free text: Continued intermittent axillary tenderness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-21

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Moderna
22021-02-01Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Shortness of breath which I also felt after the first dose (this made me concerned so I got tested for Covid today as well but that was negative)
Healthcare visit (other): Went for Covid test due to shortness of breath but that returned negative

2021-02-03

Systemic reaction (other): Severe axillary lymphadenopathy with swelling and erythema of the axilla extending almost to the biceps anteriorly

2021-02-04

Systemic reaction (other): Axillary Lymphadenopathy

2021-02-05

Systemic reaction (other): Improving axillary adenopathy

Release 5 — day 42, dose 2

2021-03-16

Symptoms: Continued intermittent axillary tenderness

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
HCVODyspnoea ✓ ✓ ✓
HCVOSARS-CoV-2 test negative ✓ ✓ ✓
SDTenderness ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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