3BZ-13467-82308
3 vaccinations
9 coded responses
27 check-ins
9 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 231 / VA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-12
Dose 1 — Moderna
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2021-04-09
Registered in v-safe
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2021-04-09
Dose 2 — Moderna
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2021-04-09
Survey response — day 0, dose 2MedDRA: Injection site rash, Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: After my first moderna shot, on day 7 I experienced armpit lymph node irritation and a small rash about 2in by 5in below area where shot was administered. Rash lasted 7-8 days and had a continuous feeling under the armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Lymph node pain, Neck pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Slight armpit lymph nodes feeling, back of neck and lower back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site rash, Injection site warmth — Feeling: Good · Site: Redness, SwellingFree text: Same rash around injection site but today in increased its area where it is red. It is still warm to touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash — Feeling: Good · Site: Redness, SwellingFree text: Rash has expanded from site injection to just above where the arm bensMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, ItchingFree text: Very minor swelling of lymph nodes under armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Continued feeling under armpit. Suspect lymph glands are ?somewhat swelled?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-10
- 2021-10-08
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2021-11-19
Dose 3 — Moderna
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2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased, Vaccine positive rechallenge — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Rapid heartbeat. 98 - 101 bpm all day. Had a rapid heartbeat after original moderna second shot in April. Should I be concerned?MedDRA releases: 2024-11 · check-in free text available
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2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: Good · Site: Redness, SwellingFree text: Continue to have high beats per minute. Yesterday had 101 bpm today 93 bpm at restMedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate irregular — Feeling: Good · Site: Redness, SwellingFree text: Heart beats down to 80 bpm from 101 bpm on SaturdayMedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
- 2021-11-25
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): After my first moderna shot, on day 7 I experienced armpit lymph node irritation and a small rash about 2in by 5in below area where shot was administered. Rash lasted 7-8 days and had a continuous feeling under the armpit
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Slight armpit lymph nodes feeling, back of neck and lower back pain
Systemic reaction (other): Same rash around injection site but today in increased its area where it is red. It is still warm to touch.
Systemic reaction (other): Rash has expanded from site injection to just above where the arm bens
Systemic reaction (other): Very minor swelling of lymph nodes under armpit
Systemic reaction (other): Continued feeling under armpit. Suspect lymph glands are ?somewhat swelled?
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Rapid heartbeat. 98 - 101 bpm all day. Had a rapid heartbeat after original moderna second shot in April. Should I be concerned?
Systemic reaction (other): Continue to have high beats per minute. Yesterday had 101 bpm today 93 bpm at rest
Systemic reaction (other): Heart beats down to 80 bpm from 101 bpm on Saturday
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 |
|---|---|---|---|---|
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Heart rate irregular | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release