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4RX-21394-78126

2 vaccinations 6 coded responses 27 check-ins 6 free-text entries 1 call case
Sex
Male
Age at first dose
56-60
ZIP prefix
385 / TN
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-11
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  4. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-08
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-09
    Dose 2 — Moderna
  15. 2021-04-09
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  17. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Chills
    Adult check-in
  18. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Inflammation of right armpit (lymph node) to about golf ball size. Tissue is soft and movable.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Good
    Free text: Swelling in right armpit.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-16
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Enlarged area in right armpit- appears to me to be a swollen lymph node about golf ball size.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-30
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Paranasal sinus hypersecretion, Productive cough — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sinus drainage, phlegm, tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-07
    Survey response — day 28, dose 2
    MedDRA: Pre-existing disease, Psoriasis — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Psoriasis is flaring up after good progress on a new biologic medicine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-08
    Survey response — 6 months, dose 2
    MedDRA: Pyrexia, SARS-CoV-2 test — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Low fever for two days. Possibly due to an injection site reaction to Taltz. · Healthcare visit (other): COVID-19 test
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-10-08
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    1 call case(s)
  31. 2021-10-13
  32. 2021-10-14
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  33. 2022-04-09
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-09Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Inflammation of right armpit (lymph node) to about golf ball size. Tissue is soft and movable.

2021-04-15

Systemic reaction (other): Swelling in right armpit.

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Enlarged area in right armpit- appears to me to be a swollen lymph node about golf ball size.

Release 8 — day 21, dose 2

2021-04-30

Symptoms: Sinus drainage, phlegm, tired.

Release 8 — day 28, dose 2

2021-05-07

Symptoms: Psoriasis is flaring up after good progress on a new biologic medicine.

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: Low fever for two days. Possibly due to an injection site reaction to Taltz.
Healthcare visit (other): COVID-19 test

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
HCVOSARS-CoV-2 test · · ✓
SDFatigue ✓ ✓ ✓
SDParanasal sinus hypersecretion ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDProductive cough ✓ ✓ ✓
SDPsoriasis ✓ ✓ ✓
SDPyrexia · · ✓
SROLymphadenopathy ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓

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