4YA-56779-78669
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 125 / NY
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Dose 1 — Moderna
-
2021-03-25
Registered in v-safe
- 2021-03-25
- 2021-03-29
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2021-04-05
Dose 2 — Moderna
-
2021-04-05
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-08
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Influenza like illness, Respiratory tract congestion — Feeling: Poor · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Cough, congestion, flu likeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Influenza like illness, Respiratory tract congestion — Feeling: Poor · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Flu-like congestion, coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-19
- 2021-04-26
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2021-05-03
Survey response — day 28, dose 2MedDRA: Axillary mass — Feeling: FairFree text: Rapidly growing mass in/or/near lymph node in armpit of arm that received the vaccine. First detected 4/29 as hard subcutaneous mass 1/4 in diameter. Is now greater than 1 in diameter. No pain in response to touch or pressure. Contact for MorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-17
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2021-07-05
Survey response — 3 months, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Still have a ropy, enlarged lymph vessel protruding from my left armpit (first became prominent 3-1/2 weeks after 2nd dose).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-05
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-08
- 2021-10-04
- 2022-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): No
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Cough, congestion, flu like
Systemic reaction (other): Flu-like congestion, cough
Release 8 — day 28, dose 2
Symptoms: Rapidly growing mass in/or/near lymph node in armpit of arm that received the vaccine. First detected 4/29 as hard subcutaneous mass 1/4 in diameter. Is now greater than 1 in diameter. No pain in response to touch or pressure. Contact for Mor
Release 9 — 3 months, dose 2
Symptoms: Still have a ropy, enlarged lymph vessel protruding from my left armpit (first became prominent 3-1/2 weeks after 2nd dose).
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 | Axillary mass | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release