392-71117-95612
1 vaccination
2 coded responses
2 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 855 / AZ
- Registered
- 2021-02-03
- Relationship
- Self
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Lymphadenopathy, Office visit, Pain, Pruritus, Skin warm, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): swollen lymph node in armpit, swelling day after inj then swelling resolved 2/2/21, 2/3/2021 the swelling/redness/itching/pain/warmth started again · Healthcare visit (other): in clinic consult with a providerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-06
Survey response — day 7, dose 1MedDRA: Cellulitis, Fatigue, Headache, Nausea, Office visit, Pain, Pruritus — Feeling: Fair · Site: Itching · Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): 2/4/2020 was evaluated by a PA and was told I had cellulitis due to vaccine, was given a rocephin inj and the next morning 2/5/2020 I woke up with a severe headache and body aches later that day I became nauseous. Today 2/6/2020 I have itching on my arm and a headache also mild fatigue · Healthcare visit (other): Family Medicine VisitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-19
- 2021-06-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): swollen lymph node in armpit, swelling day after inj then swelling resolved 2/2/21, 2/3/2021 the swelling/redness/itching/pain/warmth started again
Healthcare visit (other): in clinic consult with a provider
Release 3 — day 7, dose 1
Systemic reaction (other): 2/4/2020 was evaluated by a PA and was told I had cellulitis due to vaccine, was given a rocephin inj and the next morning 2/5/2020 I woke up with a severe headache and body aches later that day I became nauseous. Today 2/6/2020 I have itching on my arm and a headache also mild fatigue
Healthcare visit (other): Family Medicine Visit
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 | ✓ | ✓ | ✓ |
| SRO | Cellulitis | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release