4VZ-24029-43236
3 vaccinations
15 coded responses
40 check-ins
15 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 992 / WA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-09
Registered in v-safe
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2021-04-09
Dose 1 — Moderna
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2021-04-09
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Joint painsAdult check-in
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Neuralgia, Paraesthesia, Pyrexia — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Tingling and fever in my hand on the arm with the shot. Nerve pain in the hand too.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: Swollen glandsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: Swollen glandsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Pruritus — Feeling: Fair · Site: Pain, Itching · Fever · Headache · Be unable to do your normal daily activitiesFree text: Swollen glands neck and underarm itchy underarmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
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2021-05-07
Dose 2 — Moderna
- 2021-05-07
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen glands both side of my body, esp. neck and armpitsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Diarrhea, Abdominal painAdult check-in
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2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Swollen painful glands in neck and armpitsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: ItchingFree text: Swollen glands under my armpitsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-08-06
- 2021-11-05
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2021-12-10
Dose 3 — Moderna
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2021-12-10
Health check-in — day 0, dose 3Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
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2021-12-11
Survey response — days 1–6 daily, dose 3MedDRA: Ear pain, Lymphadenopathy, Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Swollen glands under arm pits and sore throat-ear acheMedDRA releases: 2024-11 · check-in free text available
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2021-12-12
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches · Be unable to work or attend schoolFree text: Very Swollen and sore armpit glandsMedDRA releases: 2024-11 · check-in free text available
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2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Swollen armpit glandsMedDRA releases: 2024-11 · check-in free text available
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2021-12-14
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Swollen armpit glandsMedDRA releases: 2024-11 · check-in free text available
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2021-12-15
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend schoolFree text: Swollen glands in armpitMedDRA releases: 2024-11 · check-in free text available
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2021-12-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-12-17
Health check-in — day 7, dose 3Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-24
- 2021-12-31
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2022-01-07
Survey response — day 28, dose 3MedDRA: Cough, Diarrhoea, Upper-airway cough syndrome — Feeling: GoodFree text: Post nasal drip cough, Diarrhea.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-14
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2022-01-21
Survey response — day 42, dose 3MedDRA: Arthropathy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Crunchy knee joints. It actually began this fall. Not sure it's related but it is strange it started suddenly in both knees. I realized I should mention it.MedDRA releases: 2024-11 · check-in free text available
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2022-01-21
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-01-25
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-11
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2022-06-10
Survey response — 6 months, dose 3MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Several instances I thought I had COVID and tested negative several times in a row.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-07 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Tingling and fever in my hand on the arm with the shot. Nerve pain in the hand too.
Systemic reaction (other): Swollen glands
Systemic reaction (other): Swollen glands
Systemic reaction (other): Swollen glands neck and underarm itchy underarm
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen glands both side of my body, esp. neck and armpits
Systemic reaction (other): Swollen painful glands in neck and armpits
Systemic reaction (other): Swollen glands under my armpits
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen glands under arm pits and sore throat-ear ache
Systemic reaction (other): Very Swollen and sore armpit glands
Systemic reaction (other): Swollen armpit glands
Systemic reaction (other): Swollen armpit glands
Systemic reaction (other): Swollen glands in armpit
Release 10 — day 28, dose 3
Symptoms: Post nasal drip cough, Diarrhea.
Release 11 — day 42, dose 3
Symptoms: Crunchy knee joints. It actually began this fall. Not sure it's related but it is strange it started suddenly in both knees. I realized I should mention it.
Release 12 — 6 months, dose 3
Symptoms: Several instances I thought I had COVID and tested negative several times in a row.
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 | Arthropathy | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release