37Z-28404-63103
2 vaccinations
2 coded responses
18 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 605 / IL
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Moderna
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-19
- 2021-03-21
- 2021-03-22
- 2021-03-29
-
2021-04-05
Survey response — day 21, dose 1MedDRA: Lip swelling — Feeling: GoodFree text: Swelling log upper lip. I had filler a week before. I requested Pfizer but moderna was being given. Literally 5 min after I was injected they stopped the Moderna and started Pfizer. My doc told me I. Ould have some swelling but to get it anyway.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Dose 2 — Moderna
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort, Hypoaesthesia, Lymph node pain, Lymphadenopathy, Medical counselling, Office visit — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Swollen painful lymph nodes in armpit of same arm. Saw a doc and he said this is likely from the shot. It very uncomfortable and my arm feels like it is going numb. · Healthcare visit (other): Office visit to pcpMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-27
- 2022-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — day 21, dose 1
Symptoms: Swelling log upper lip. I had filler a week before. I requested Pfizer but moderna was being given. Literally 5 min after I was injected they stopped the Moderna and started Pfizer. My doc told me I. Ould have some swelling but to get it anyway. cut off by CDC
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen painful lymph nodes in armpit of same arm. Saw a doc and he said this is likely from the shot. It very uncomfortable and my arm feels like it is going numb.
Healthcare visit (other): Office visit to pcp
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release