464-89211-04509
2 vaccinations
6 coded responses
10 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 853 / AZ
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-06
Registered in v-safe
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2021-01-06
Dose 1 — Moderna
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2021-01-13
Survey response — day 7, dose 1MedDRA: Lymphadenopathy, Nodule — Feeling: Fair · HeadacheFree text: I have enlarged lymph nodes in my armpit on the injection side and a palpable nodule below my left clavicleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-20
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2021-01-27
Survey response — day 21, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: I still have a nodule under my clavicle that appeared after the vaccine it is palpable and can be flicked up over the clavicle. Im guessing its a lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — day 28, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Continue to have lymph node near my clavicle. It seems that it may be smallerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Dose 2 — Moderna
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2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Lumps. One swollen large lymph node in armpit one nodule in pit. One nodule below clavicle. Was getting smaller now large.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Axillary mass, Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Lumps in my armpit and lymph node around my clavicle are still present and tenderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-19
- 2021-03-05
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2021-08-06
Survey response — 6 months, dose 2MedDRA: C-reactive protein increased, Mass, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Still have that lump · Healthcare visit (other): Went in for lump and elevated Crp labMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-06
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-22
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): I have enlarged lymph nodes in my armpit on the injection side and a palpable nodule below my left clavicle
Release 2 — day 21, dose 1
Symptoms: I still have a nodule under my clavicle that appeared after the vaccine it is palpable and can be flicked up over the clavicle. Im guessing its a lymph node
Release 3 — day 28, dose 1
Symptoms: Continue to have lymph node near my clavicle. It seems that it may be smaller
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Lumps. One swollen large lymph node in armpit one nodule in pit. One nodule below clavicle. Was getting smaller now large.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lumps in my armpit and lymph node around my clavicle are still present and tender
Release 9 — 6 months, dose 2
Symptoms: Still have that lump
Healthcare visit (other): Went in for lump and elevated Crp lab
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 | C-reactive protein increased | ✓ | · | ✓ |
| HCVO | Mass | ✓ | · | ✓ |
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Mass | ✓ | · | ✓ |
| SRO | Axillary mass | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nodule | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release