4YN-31677-39932
3 vaccinations
4 coded responses
37 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 762 / TX
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-27
Dose 1 — Moderna
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2021-01-28
Registered in v-safe
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2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Muscle or body achesAdult check-in
- 2021-01-30
- 2021-02-01
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2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Nodule, Tenderness — Feeling: FairFree text: A lump on my collarbone- same side as injection. The lump moves a bit, but is tender to the touch or when I raise my arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — day 7, dose 1MedDRA: Swelling, Tenderness — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tender lump on my collarbone - same side as the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-10
- 2021-02-17
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2021-02-24
Dose 2 — Moderna
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2021-02-24
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
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2021-03-24
Survey response — day 28, dose 2MedDRA: Lymphadenitis, Mass, Ultrasound scan — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: The lump on my collarbone, which appeared one week after the first injection, is still there. My doctor ordered an ultrasound and confirmed it is an inflamed lymph node likely due to the vaccine. I should tell her if it gets bigger or doesnt go aw · Healthcare visit (other): UltrasoundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-06-21
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2021-06-29
Call successfulParticipant prefers to complete VAERS report online
- 2021-08-25
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2021-10-30
Dose 3 — Moderna
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, 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 activitiesAdult check-in
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
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2021-11-06
Survey response — day 7, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-13
- 2021-11-20
- 2021-12-04
- 2021-12-12
- 2022-01-31
- 2022-04-30
- 2022-11-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): A lump on my collarbone- same side as injection. The lump moves a bit, but is tender to the touch or when I raise my arm.
Release 3 — day 7, dose 1
Systemic reaction (other): Tender lump on my collarbone - same side as the injection
Release 6 — day 28, dose 2
Symptoms: The lump on my collarbone, which appeared one week after the first injection, is still there. My doctor ordered an ultrasound and confirmed it is an inflamed lymph node likely due to the vaccine. I should tell her if it gets bigger or doesnt go aw
Healthcare visit (other): Ultrasound
Release 10 — day 7, dose 3
Systemic reaction (other): Swollen 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Ultrasound scan | ✓ | ✓ | ✓ |
| SD | Lymphadenitis | ✓ | ✓ | ✓ |
| SD | Mass | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Nodule | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release