3MV-11636-80284
2 vaccinations
8 coded responses
24 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 535 / WI
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
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2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-23
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2021-01-28
Survey response — day 14, dose 1MedDRA: Erythema, Lymph node pain, Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Swollen lymphnode superior to left clavicle about mid clavicle. Resulting in soreness and mild redness. Have been hot compressing for 3 days with swelling decreasing but not yet fully dissipated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-04
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2021-02-11
Dose 2 — Moderna
- 2021-02-11
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Several days after my first vacc., i had swollen lymph nodes central left clavicle. Hot compresses over several days decreased and were totally diminshed before this shot. Today i have at least 2 swollen nodes in the same place and they are starting to feel tender now when palpated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph nodes superior and central left clavicle continues with very intermittent and super mild pain in left arm pit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · HeadacheFree text: Continued swollen lymph nodes and more frequent noticing in arm pit but still very mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Oedema peripheral — Feeling: Good · HeadacheFree text: Swollen nodes and armpit noticing decreasingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Headache · Be unable to do your normal daily activitiesFree text: Continued decreasing of left arm pit and swollen nodes at left clavicleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
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2021-03-18
Survey response — day 35, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Specific joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-23
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2021-05-13
Survey response — 3 months, dose 2MedDRA: Cough, Dermatitis contact, Nasopharyngitis, Pain, Rhinorrhoea — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Had a head cold with runny nose, cough and body aches.Also reactive case of poison oak. Had not reacted to any poison plants prior.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Report sent to call center — 3 months, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-16
- 2022-02-11
- 2022-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 14, dose 1
Symptoms: Swollen lymphnode superior to left clavicle about mid clavicle. Resulting in soreness and mild redness. Have been hot compressing for 3 days with swelling decreasing but not yet fully dissipated.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Several days after my first vacc., i had swollen lymph nodes central left clavicle. Hot compresses over several days decreased and were totally diminshed before this shot. Today i have at least 2 swollen nodes in the same place and they are starting to feel tender now when palpated.
Systemic reaction (other): Swollen lymph nodes superior and central left clavicle continues with very intermittent and super mild pain in left arm pit.
Systemic reaction (other): Continued swollen lymph nodes and more frequent noticing in arm pit but still very mild
Systemic reaction (other): Swollen nodes and armpit noticing decreasing
Systemic reaction (other): Continued decreasing of left arm pit and swollen nodes at left clavicle
Release 5 — day 35, dose 2
Symptoms: Specific joint pain
Release 8 — 3 months, dose 2
Symptoms: Had a head cold with runny nose, cough and body aches.Also reactive case of poison oak. Had not reacted to any poison plants prior.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dermatitis contact | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release