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4PJ-15492-43667

4 vaccinations 22 coded responses 49 check-ins 21 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
178 / PA
Registered
2021-01-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Dose 1 — Moderna
  2. 2021-01-16
    Registered in v-safe
  3. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-09
    Dose 2 — Moderna
  9. 2021-02-09
    Survey response — day 0, dose 2
    MedDRA: Axillary pain, Tenderness — Feeling: Fair · Site: Pain · Chills, Muscle or body aches
    Free text: arm pit tenderness on side of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: significant swelling in the lymph nodes in arm pit and clavicle area on side of injection site (R)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness
    Free text: still significant swelling in lymph nodes in arm pit and clavicle area on side of injection, also felt mildly spacey in the head for the first half of the day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy, Oedema peripheral — Feeling: Good · Site: Pain
    Free text: Still have swelling in armpit on side of injection, but it has gone down a little since yesterday. Lymph nodes in clavicle still swollen as well, but they have gone down more than the axillary ones.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Swelling in armpit is still there, but continues to go down. However, it is causing occasional pain down into brachial artery.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral, Tenderness — Feeling: Good · Site: Pain
    Free text: Arm pit swelling has gone down significantly, barely there. Very mild tenderness in the area now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Lymph node pain, Lymphadenopathy — Feeling: Good · Headache
    Free text: Lymph nodes in arm pit are no longer swollen, but the area is still mildly tender, lymph nodes in clavicle are now normal, headache started yesterday but I forgot to note it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-16
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-11-22
    Dose 3 — Moderna
  25. 2021-11-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: minor swelling in axillary lymph node on side of injection
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-24
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Nausea, Abdominal pain
    Free text: swollen axillary lymph node and mild soreness in other lymph nodes in neck and shoulder area
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-25
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: swollen axillary lymph node
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-11-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Very little residual swelling in axillary lymph node
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Only tiny amount of swelling left in axillary lymph node
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Adverse reaction — Feeling: Fair · Chills, Muscle or body aches
    Free text: These symptoms are all from the flu shot I had yesterday.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-29
    Survey response — day 7, dose 3
    MedDRA: Adverse reaction — Feeling: Fair · Muscle or body aches
    Free text: Symptoms today are still from flu shot I got on Saturday 11/27
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-12-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-01-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-02-21
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-05-23
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-09-25
    Dose 4 — Pfizer-BioNTech
  40. 2022-09-25
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  41. 2022-09-26
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Swollen axillary lymph node on side of injection
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-09-27
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness
    Free text: Swollen axillary lymph node on side of injection
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-09-28
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Swollen axillary lymph node on injection side
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-09-29
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy, Swelling — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Swelling in axillary lymph node on injection side plus swelling down into lateral rib cage area
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-09-30
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Good · Headache, Muscle or body aches
    Free text: Swollen axillary lymph node on injection side - has decreased considerably in last 24 hours
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-10-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Headache
    Adult check-in
  47. 2022-10-02
    Health check-in — day 7, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  48. 2022-10-09
    Survey response — day 14, dose 4
    MedDRA: Abdominal pain upper, Condition aggravated, Diarrhoea, Intermittent claudication, Pre-existing disease, Vomiting — Feeling: Good · Be unable to do your normal daily activities
    Free text: My symptoms are likely unrelated to my vaccine. I've had worsening symptoms with some vascular issues I've had over the past two years. I've had left leg claudication and stomach pains (vomit and diarrhea).
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-10-16
    Survey response — day 21, dose 4
    MedDRA: Arterial bypass operation, Emergency care, Thrombectomy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I had an arterial bypass in my hip occlude a week ago. Needed emergency surgery to remove clots.
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-10-23
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-10-30
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-11-06
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-12-25
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  54. 2023-03-26
    Survey response — 6 months, dose 4
    MedDRA: Gastrointestinal bacterial overgrowth — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna
32021-11-22Moderna No
42022-09-25Pfizer-BioNTech No

Free text

Release 3 — day 0, dose 2

2021-02-09

Systemic reaction (other): arm pit tenderness on side of injection

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): significant swelling in the lymph nodes in arm pit and clavicle area on side of injection site (R)

2021-02-11

Systemic reaction (other): still significant swelling in lymph nodes in arm pit and clavicle area on side of injection, also felt mildly spacey in the head for the first half of the day

2021-02-12

Systemic reaction (other): Still have swelling in armpit on side of injection, but it has gone down a little since yesterday. Lymph nodes in clavicle still swollen as well, but they have gone down more than the axillary ones.

2021-02-13

Systemic reaction (other): Swelling in armpit is still there, but continues to go down. However, it is causing occasional pain down into brachial artery.

2021-02-14

Systemic reaction (other): Arm pit swelling has gone down significantly, barely there. Very mild tenderness in the area now.

2021-02-15

Systemic reaction (other): Lymph nodes in arm pit are no longer swollen, but the area is still mildly tender, lymph nodes in clavicle are now normal, headache started yesterday but I forgot to note it.

Release 10 — days 1–6 daily, dose 3

2021-11-23

Systemic reaction (other): minor swelling in axillary lymph node on side of injection

2021-11-24

Systemic reaction (other): swollen axillary lymph node and mild soreness in other lymph nodes in neck and shoulder area

2021-11-25

Systemic reaction (other): swollen axillary lymph node

2021-11-26

Systemic reaction (other): Very little residual swelling in axillary lymph node

2021-11-27

Systemic reaction (other): Only tiny amount of swelling left in axillary lymph node

2021-11-28

Systemic reaction (other): These symptoms are all from the flu shot I had yesterday.

Release 10 — day 7, dose 3

2021-11-29

Systemic reaction (other): Symptoms today are still from flu shot I got on Saturday 11/27

Release 12 — days 1–6 daily, dose 4

2022-09-26

Systemic reaction (other): Swollen axillary lymph node on side of injection

2022-09-27

Systemic reaction (other): Swollen axillary lymph node on side of injection

2022-09-28

Systemic reaction (other): Swollen axillary lymph node on injection side

2022-09-29

Systemic reaction (other): Swelling in axillary lymph node on injection side plus swelling down into lateral rib cage area

2022-09-30

Systemic reaction (other): Swollen axillary lymph node on injection side - has decreased considerably in last 24 hours

Release 12 — day 14, dose 4

2022-10-09

Symptoms: My symptoms are likely unrelated to my vaccine. I've had worsening symptoms with some vascular issues I've had over the past two years. I've had left leg claudication and stomach pains (vomit and diarrhea).

Release 12 — day 21, dose 4

2022-10-16

Symptoms: I had an arterial bypass in my hip occlude a week ago. Needed emergency surgery to remove clots.

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain upper · · ✓
SDArterial bypass operation · · ✓
SDCondition aggravated · · ✓
SDDiarrhoea · · ✓
SDEmergency care · · ✓
SDGastrointestinal bacterial overgrowth · · ✓
SDIntermittent claudication · · ✓
SDPre-existing disease · · ✓
SDThrombectomy · · ✓
SDVomiting · · ✓
SROAdverse reaction · · ✓
SROArthralgia · · ✓
SROAxillary pain ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROSwelling · · ✓
SROTenderness ✓ ✓ ✓

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

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