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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

  1. 2021-01-08
    Registered in v-safe
  2. 2021-01-08
    Dose 1 — Moderna
  3. 2021-01-08
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-15
    Survey response — day 7, dose 1
    MedDRA: Injection site nodule, Injection site pain — Feeling: Good
    Free 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 sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-05
    Dose 2 — Moderna
  10. 2021-02-05
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen lymph node which is painful on subscapula area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: What appears to be a swollen lymph node on back on same side as shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free 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 shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node on back
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Appears to be a swollen lymph node on my back near the arm that was injected
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-12
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Appears to be a swollen lymph node behind arm /back on same side as shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-02-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna

Free text

Release 2 — day 7, dose 1

2021-01-15

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

2021-02-07

Systemic reaction (other): Swollen lymph node which is painful on subscapula area

2021-02-08

Systemic reaction (other): What appears to be a swollen lymph node on back on same side as shot

2021-02-09

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

2021-02-10

Systemic reaction (other): Swollen lymph node on back

Release 4 — days 1–6 daily, dose 2

2021-02-11

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

2021-02-12

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

FieldPreferred term2021-092023-042024-11
SROInjection site nodule ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release