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4TK-31124-35958

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 2 call cases
Sex
—
Age at first dose
41-45
ZIP prefix
350 / AL
Registered
2021-01-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Registered in v-safe
  2. 2021-01-06
    Dose 1 — Moderna
  3. 2021-01-06
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-20
    Survey response — day 14, dose 1
    MedDRA: Emergency care, Lymphadenopathy, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: On Fri Jan 15, discovered a large lymph node under my R arm. Had my vaccine in R arm on Jan 6. Saw my doctor on Jan 18. Had an ultrasound & mammogram at hospital on Jan 20. I have not had any fever or infection to cause enlarged node.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-20
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-01-27
    Survey response — day 21, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Still have an enlarged lymph node under right arm. It has gone down some since discovering enlarged lymph node on Jan 15. Had an ultrasound of lymph node on Jan 20. Per doctor - just monitoring node.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-27
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-02-03
    Dose 2 — Moderna
  15. 2021-02-03
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Enlarged lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Itching · Joint pains, Fatigue or tiredness
    Free text: Enlarged lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Itching · Headache
    Free text: Enlarged lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching
    Free text: Still have enlarged lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Itching
    Free text: Enlarged lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Enlarged lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-10
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Enlarged lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-02-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-02-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-03-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-03-25
    Call successful
    Participant prefers to complete VAERS report online
  29. 2021-05-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-08-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-02-03
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-03Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-20

Symptoms: On Fri Jan 15, discovered a large lymph node under my R arm. Had my vaccine in R arm on Jan 6. Saw my doctor on Jan 18. Had an ultrasound & mammogram at hospital on Jan 20. I have not had any fever or infection to cause enlarged node.

Release 2 — day 21, dose 1

2021-01-27

Symptoms: Still have an enlarged lymph node under right arm. It has gone down some since discovering enlarged lymph node on Jan 15. Had an ultrasound of lymph node on Jan 20. Per doctor - just monitoring node.

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Enlarged lymph nodes

2021-02-05

Systemic reaction (other): Enlarged lymph nodes

2021-02-06

Systemic reaction (other): Enlarged lymph nodes

2021-02-07

Systemic reaction (other): Still have enlarged lymph nodes

2021-02-08

Systemic reaction (other): Enlarged lymph nodes

2021-02-09

Systemic reaction (other): Enlarged lymph nodes

Release 4 — day 7, dose 2

2021-02-10

Systemic reaction (other): Enlarged lymph nodes

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
SDEmergency care ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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

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