4YV-78419-53693
2 vaccinations
7 coded responses
17 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 222 / VA
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-08
- 2021-01-09
- 2021-01-14
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2021-01-15
Survey response — day 7, dose 1MedDRA: Injection site nodule, Injection site pain — Feeling: GoodFree text: As of yesterday i have a node or bump on my back on the side of the shot that is protruding . Not sure if its related or not but it is soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph node which is painful on subscapula areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: What appears to be a swollen lymph node on back on same side as shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Very swollen lymph node or at least that is what I think it Is on my back behind my arm the side I got the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node on backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Appears to be a swollen lymph node on my back near the arm that was injectedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Appears to be a swollen lymph node behind arm /back on same side as shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-08-06
- 2022-02-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): As of yesterday i have a node or bump on my back on the side of the shot that is protruding . Not sure if its related or not but it is sore
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph node which is painful on subscapula area
Systemic reaction (other): What appears to be a swollen lymph node on back on same side as shot
Systemic reaction (other): Very swollen lymph node or at least that is what I think it Is on my back behind my arm the side I got the shot
Systemic reaction (other): Swollen lymph node on back
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Appears to be a swollen lymph node on my back near the arm that was injected
Release 4 — day 7, dose 2
Systemic reaction (other): Appears to be a swollen lymph node behind arm /back on same side as shot
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 |
|---|---|---|---|---|
| SRO | Injection site nodule | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release