44Q-10140-04571
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 951 / CA
- Registered
- 2021-10-25
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-25
Registered in v-safe
-
2021-10-25
Dose 1 — Moderna
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-10
- 2021-11-17
-
2021-11-22
Dose 2 — Moderna
-
2021-11-22
Survey response — day 0, dose 2MedDRA: Axillary mass — Feeling: FairFree text: Small lump in right armpit following the first dose. I got both doses in my left armMedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-11-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-25
- 2021-11-27
-
2021-11-28
Survey response — days 1–6 daily, dose 2MedDRA: Axillary mass — Feeling: GoodFree text: Still have a lump in my right armpitMedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-12-06
- 2021-12-13
-
2021-12-27
Survey response — day 35, dose 2MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · 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: COVID symptoms Sore throat, cough, etcMedDRA releases: 2024-11 · check-in free text available
-
2021-12-27
Report sent to call center — day 35, dose 2Be 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)
- 2021-12-28
- 2022-01-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-25 | Moderna | No |
| 2 | 2021-11-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-27 | Unsuccessful |
Free text
Release 10 — day 0, dose 2
Systemic reaction (other): Small lump in right armpit following the first dose. I got both doses in my left arm
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Still have a lump in my right armpit
Release 10 — day 35, dose 2
Symptoms: COVID symptoms Sore throat, cough, etc
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 | Cough | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Axillary mass | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release