3RW-19511-45616
4 vaccinations
11 coded responses
50 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 937 / CA
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-01-23
Registered in v-safe
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: Painful axillary lymph node on same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain — Feeling: GoodFree text: Axillary lymph node painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — day 7, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Axillary lymph node painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Lymph node pain — Feeling: GoodFree text: Large red itchy patch at injection site started in day 8 post vaccination, slowly improved days 12 onward, still faintly present today. Also axillary lymph node pain on same side as injection lasted until day 12.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
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2021-02-19
Dose 2 — Moderna
- 2021-02-19
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Pain in extremity, Pain of skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Intermittent stabbing pains of scalp, ear drums, soles of feetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body achesAdult check-in
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Good · Site: Redness, ItchingFree text: Axillary pain on side of injection, no swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
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2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-03-05
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2021-03-12
Survey response — day 21, dose 2MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Hip pain unresponsive to NSAIDs/ice/rest. Never had hip pain before. Possibly due to new exercise regimen but I am generally athletic person so ver unusual. Have to wait a few more days to see if it improves or else will seek orthopedic consult.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 28, dose 2MedDRA: Arthralgia, Musculoskeletal pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Continued left hip pain, also buttock pain, had MRI: left gluteus maximus tear.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-26
- 2021-04-02
- 2021-05-21
- 2021-08-20
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2021-10-22
Dose 3 — Moderna
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2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-26
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Enlanrgen tender lymph node in left armpit area mostly goneMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Minimal lymphadenopathy left axillaMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
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2022-03-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-22
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2022-09-06
Dose 4 — Moderna
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2022-09-08
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-09-09
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Ipsilateral axillary lymphadenopathyMedDRA releases: 2024-11 · check-in free text available
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2022-09-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2022-09-11
- 2022-09-12
- 2022-09-13
- 2022-09-20
- 2022-09-27
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-12-06
- 2023-03-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-09-06 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Painful axillary lymph node on same side as injection
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Axillary lymph node pain
Release 3 — day 7, dose 1
Systemic reaction (other): Axillary lymph node pain
Release 3 — day 14, dose 1
Symptoms: Large red itchy patch at injection site started in day 8 post vaccination, slowly improved days 12 onward, still faintly present today. Also axillary lymph node pain on same side as injection lasted until day 12.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Intermittent stabbing pains of scalp, ear drums, soles of feet
Systemic reaction (other): Axillary pain on side of injection, no swelling
Release 5 — day 21, dose 2
Symptoms: Hip pain unresponsive to NSAIDs/ice/rest. Never had hip pain before. Possibly due to new exercise regimen but I am generally athletic person so ver unusual. Have to wait a few more days to see if it improves or else will seek orthopedic consult.
Release 5 — day 28, dose 2
Symptoms: Continued left hip pain, also buttock pain, had MRI: left gluteus maximus tear.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Enlanrgen tender lymph node in left armpit area mostly gone
Systemic reaction (other): Minimal lymphadenopathy left axilla
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Ipsilateral axillary lymphadenopathy
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release