48V-34025-36390
2 vaccinations
7 coded responses
25 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 633 / MO
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
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2020-12-29
Dose 1 — Moderna
- 2020-12-29
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2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Swelling — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Swelling above my clavicle, sand side as the injection site. Diagnosed with lymphadenopathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Swelling — Feeling: GoodFree text: Still have swelling to left clavicle areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Swelling — Feeling: GoodFree text: Still swelling noted above left clavicleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Still swelling noted to left supraclavicular area, no pain todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Still swelling/fluid noted to my supraclivicular areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
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2021-01-14
Survey response — day 14, dose 1MedDRA: Feeling hot — Feeling: GoodFree text: Very hot at night, not really night sweats, but partner advises hot at night at timesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-20
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2021-01-20
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2021-01-26
Dose 2 — Moderna
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2021-01-26
Survey response — day 0, dose 2MedDRA: Immunisation, Unevaluable event — Feeling: GoodFree text: Got the vaccine 2 hours agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-28
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
- 2021-07-27
- 2022-01-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Swelling above my clavicle, sand side as the injection site. Diagnosed with lymphadenopathy
Systemic reaction (other): Still have swelling to left clavicle area
Systemic reaction (other): Still swelling noted above left clavicle
Systemic reaction (other): Still swelling noted to left supraclavicular area, no pain today
Systemic reaction (other): Still swelling/fluid noted to my supraclivicular area
Release 2 — day 14, dose 1
Symptoms: Very hot at night, not really night sweats, but partner advises hot at night at times
Release 2 — day 0, dose 2
Systemic reaction (other): Got the vaccine 2 hours ago
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 | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Immunisation | ○ | ✓ | ○ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release