4V3-26985-00611
1 vaccination
5 coded responses
7 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 684 / NE
- Registered
- 2021-05-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-28
Dose 1 — Moderna
-
2021-05-04
Registered in v-safe
-
2021-05-04
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Dizziness, Dyspnoea, Heart rate increased, Lymph node pain, Lymphadenopathy, Musculoskeletal pain, Pain, Pain in extremity, Palpitations, Tremor — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Swollen lymph nodes under my vaccinated arm with pain radiating down my arm, into my chest and along my left shoulder blade. Also dizzy and shakes. Elevated heart rate, palpitations and shortness of breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-05
Survey response — day 7, dose 1MedDRA: Chest pain, Cough, Fatigue, Lymphadenopathy, Pain, Pain in extremity, Pulmonary congestion, Sleep disorder, Wheezing — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Swollen lymph nodes under my left arm in which I was vaccinated. Pain disrupts sleep and radiates down my arm and into my chest. Congested lungs, coughing and wheezing, extreme fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-15
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2021-05-19
Survey response — day 21, dose 1MedDRA: Fatigue, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very achey, headache, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
-
2021-10-27
Survey response — 6 months, dose 1MedDRA: Asthma, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Asthma flare upsMedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-28
-
2022-04-28
Survey response — 12 months, dose 1MedDRA: Arthralgia, Arthritis, Fatigue, Spondylitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Painful inflation in my hip, back, neck and most of my joints for a couple of weeks, along with fatigue.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-29
- 2022-05-02
- 2022-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-28 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen lymph nodes under my vaccinated arm with pain radiating down my arm, into my chest and along my left shoulder blade. Also dizzy and shakes. Elevated heart rate, palpitations and shortness of breath.
Release 8 — day 7, dose 1
Systemic reaction (other): Swollen lymph nodes under my left arm in which I was vaccinated. Pain disrupts sleep and radiates down my arm and into my chest. Congested lungs, coughing and wheezing, extreme fatigue
Release 8 — day 21, dose 1
Symptoms: Very achey, headache, fatigue
Release 10 — 6 months, dose 1
Symptoms: Asthma flare ups
Release 11 — 12 months, dose 1
Symptoms: Painful inflation in my hip, back, neck and most of my joints for a couple of weeks, along with fatigue.
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 | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Spondylitis | · | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Pulmonary congestion | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
| SRO | Wheezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release