4JG-12544-98093 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-09
Dose 1 — Moderna
2021-03-09
Dose 2 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Mass — Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness

Free text: lump underneath skin on left clavicle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Neck mass — Feeling: Good

Free text: Lump on left clavicle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Mass — Feeling: Good

Free text: Lump by left clavicle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Neck mass — Feeling: Good · Fatigue or tiredness

Free text: Lump at left clavicle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Lump near clavicle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Survey response — day 21, dose 2
MedDRA: Decreased appetite, Disturbance in attention, Fatigue — Feeling: Good

Free text: Fatigue, unable to concentrate, loss of appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-09	Moderna

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): lump underneath skin on left clavicle

2021-03-12

Systemic reaction (other): Lump on left clavicle

2021-03-13

Systemic reaction (other): Lump by left clavicle

2021-03-14

Systemic reaction (other): Lump at left clavicle

2021-03-15

Systemic reaction (other): Lump near clavicle

Release 6 — day 21, dose 2

2021-04-01

Symptoms: Fatigue, unable to concentrate, loss of appetite.

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	Decreased appetite	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Fatigue	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mass	✓	✓	✓
SRO	Neck mass	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release