3N5-16143-04451
3 vaccinations
8 coded responses
34 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 791 / TX
- Registered
- 2021-01-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Dose 1 — Moderna
-
2021-01-01
Registered in v-safe
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-06
- 2021-01-07
- 2021-01-14
- 2021-01-21
-
2021-01-28
Dose 2 — Moderna
- 2021-01-28
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-04-29
- 2021-07-29
-
2021-10-11
Dose 3 — Moderna
-
2021-10-13
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Extreme swelling in the lymph node under arm that had the shot. · Healthcare visit (other): Dr. prescribed ice packs under arm.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-13
Report sent to call center — days 1–6 daily, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-10-14
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Still extreme swelling in left armpit, lymph node. Same side as injection sight.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-14
Report sent to call center — days 1–6 daily, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-10-15
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: SwelLing of lymph node under left arm.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-16
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Painful swollen lymph node sMedDRA releases: 2024-11 · check-in free text available
-
2021-10-17
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: Pain in lymph node s under left are. Still applying ice.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-18
Survey response — day 7, dose 3MedDRA: Lymph node pain — Feeling: GoodFree text: Painful lymph nodes under left armMedDRA releases: 2024-11 · check-in free text available
-
2021-10-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-25
Survey response — day 14, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Lymph nodes still swollen under arm that recieved shot. Painful.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Survey response — day 21, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: STILL have lymph node swelling under arm...MedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2022-01-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-10-11 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Extreme swelling in the lymph node under arm that had the shot.
Healthcare visit (other): Dr. prescribed ice packs under arm.
Systemic reaction (other): Still extreme swelling in left armpit, lymph node. Same side as injection sight.
Systemic reaction (other): SwelLing of lymph node under left arm.
Systemic reaction (other): Painful swollen lymph node s
Systemic reaction (other): Pain in lymph node s under left are. Still applying ice.
Release 10 — day 7, dose 3
Systemic reaction (other): Painful lymph nodes under left arm
Release 10 — day 14, dose 3
Symptoms: Lymph nodes still swollen under arm that recieved shot. Painful.
Release 10 — day 21, dose 3
Symptoms: STILL have lymph node swelling under arm...
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 | Unevaluable event | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release