4U9-17706-87936
5 vaccinations
12 coded responses
65 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 189 / PA
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Registered in v-safe
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2021-02-09
Dose 1 — Moderna
- 2021-02-09
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2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
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2021-02-23
Survey response — day 14, dose 1MedDRA: Lymph node pain — Feeling: GoodFree text: Sore lymph nodes under arm on side that was vaccinatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
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2021-03-09
Dose 2 — Moderna
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen lymph nodes u dear the arm and side of Brest on side I got the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling · HeadacheFree text: Swollen lymph nodes under arm and left breast on side where I received the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Breast swelling, Oedema peripheral — Feeling: Good · Site: Pain, Redness, ItchingFree text: Slight swelling under arm and side of breast on side I got the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-06-08
- 2021-09-07
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2021-10-19
Dose 3 — Moderna
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2021-10-20
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swelling of lymph nodes under arm where I got my injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-10-21
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swelling og lymph nodes under arm on side i got injectionMedDRA releases: 2024-11 · check-in free text available
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2021-10-22
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, SwellingFree text: Swelling in underarm lymph nodes under arm where i got the injectionMedDRA releases: 2024-11 · check-in free text available
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2021-10-23
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swrlling of lymph nodes under arm where I got the shot. Diminished since yesterdayMedDRA releases: 2024-11 · check-in free text available
- 2021-10-24
- 2021-10-25
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2022-01-18
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2022-04-18
Dose 4 — Moderna
- 2022-04-18
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2022-04-19
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen lymph nodes under arm where i got the injectionMedDRA releases: 2024-11 · check-in free text available
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph nodes under arm where I got the injectionMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
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2022-07-18
Survey response — 3 months, dose 4MedDRA: Knee arthroplasty — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had actotal knee replacement of left knee.MedDRA releases: 2024-11 · check-in free text available
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2022-09-10
Dose 5 — Moderna
- 2022-09-10
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2022-09-11
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-12
- 2022-09-14
- 2022-09-16
- 2022-09-17
- 2022-09-24
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-22
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2022-12-10
Survey response — 3 months, dose 5MedDRA: Nasal congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Nasal congestionMedDRA releases: 2024-11 · check-in free text available
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2022-12-10
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-12
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2022-12-22
Call successfulCompleted over the phone
- 2023-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-10-19 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
| 5 | 2022-09-10 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — day 14, dose 1
Symptoms: Sore lymph nodes under arm on side that was vaccinated
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes u dear the arm and side of Brest on side I got the injection
Systemic reaction (other): Swollen lymph nodes under arm and left breast on side where I received the injection
Systemic reaction (other): Slight swelling under arm and side of breast on side I got the injection
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling of lymph nodes under arm where I got my injection
Systemic reaction (other): Swelling og lymph nodes under arm on side i got injection
Systemic reaction (other): Swelling in underarm lymph nodes under arm where i got the injection
Systemic reaction (other): Swrlling of lymph nodes under arm where I got the shot. Diminished since yesterday
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph nodes under arm where i got the injection
Systemic reaction (other): Swollen lymph nodes under arm where I got the injection
Release 12 — 3 months, dose 4
Symptoms: I had actotal knee replacement of left knee.
Release 12 — 3 months, dose 5
Symptoms: Nasal congestion
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 | Knee arthroplasty | · | · | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SRO | Breast swelling | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release