3LR-21486-25018
2 vaccinations
8 coded responses
25 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 548 / WI
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Moderna
- 2021-02-17
-
2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tiredness, DiarrheaAdult check-in
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2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Moderna
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Soft tissue swelling — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lymph node swelling and soft tissue swelling above my collarbones. Most prominent on the injection side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Lymphoedema — Feeling: Fair · Headache, Fatigue or tirednessFree text: Supraclavicular adenopathy and swelling likely lymphedemaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Lymphoedema — Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cervical adenooathy and cervical lymphedema. (I am an Internal Med MDMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Lymphoedema — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cervical adenopathy and cervical lymphedemaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 7, dose 2MedDRA: Lymphadenopathy, Lymphoedema — Feeling: GoodFree text: Ipsilateral cervical adenopathy and lymphedemaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — day 14, dose 2MedDRA: Swelling — Feeling: GoodFree text: Swelling of my neck is persisting and fluctuating on the side of the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
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2021-04-21
Survey response — day 35, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Disappointed to still have supraclavicular swelling on the side of the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
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2021-06-16
Survey response — 3 months, dose 2MedDRA: Lymphoedema — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: New onset lymphedema full arm on side of vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-24
- 2021-06-25
- 2021-09-15
- 2022-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph node swelling and soft tissue swelling above my collarbones. Most prominent on the injection side.
Systemic reaction (other): Supraclavicular adenopathy and swelling likely lymphedema
Systemic reaction (other): Cervical adenooathy and cervical lymphedema. (I am an Internal Med MD
Systemic reaction (other): Cervical adenopathy and cervical lymphedema
Release 6 — day 7, dose 2
Systemic reaction (other): Ipsilateral cervical adenopathy and lymphedema
Release 6 — day 14, dose 2
Symptoms: Swelling of my neck is persisting and fluctuating on the side of the vaccine.
Release 7 — day 35, dose 2
Symptoms: Disappointed to still have supraclavicular swelling on the side of the vaccine
Release 9 — 3 months, dose 2
Symptoms: New onset lymphedema full arm on side of vaccine.
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 |
|---|---|---|---|---|
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Lymphoedema | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Lymphoedema | ✓ | ✓ | ✓ |
| SRO | Soft tissue swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release