4RM-21596-09519
3 vaccinations
2 coded responses
26 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 236 / VA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
AJW-40295-86339
Child or adolescent in my care · Male · 2021-12-09
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
-
2021-02-09
Survey response — day 14, dose 1MedDRA: Lymph node pain, Lymphadenopathy, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Two lymph bodes on my right side were swollen on last Tuesday night. The one under my right arm and the one by my collar bone was swollen and tender. I reached out to my Dr who said to apply heat and that has helped yet oth areas are still enlarged.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-18
- 2021-02-23
-
2021-02-25
Dose 2 — Moderna
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · HeadacheAdult check-in
- 2021-02-28
- 2021-03-05
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
-
2021-07-17
Call successfulParticipant prefers to complete VAERS report online
- 2021-08-26
-
2021-12-26
Dose 3 — Moderna
- 2021-12-30
- 2022-01-02
- 2022-01-25
-
2022-01-31
Survey response — day 35, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: FairFree text: The lymph node under my right arm is swollen and has been for about 1 week and the lymph node in my neck under my right jaw is swollen and tender to the touch.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-06
- 2022-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-12-26 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 3 — day 14, dose 1
Symptoms: Two lymph bodes on my right side were swollen on last Tuesday night. The one under my right arm and the one by my collar bone was swollen and tender. I reached out to my Dr who said to apply heat and that has helped yet oth areas are still enlarged. cut off by CDC
Release 11 — day 35, dose 3
Symptoms: The lymph node under my right arm is swollen and has been for about 1 week and the lymph node in my neck under my right jaw is swollen and tender to the touch.
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 | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release