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59Z-18204-03889

3 vaccinations 3 coded responses 12 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
843 / UT
Registered
2021-10-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
1826044 (opens in a new window) high 10 / 11 2 3 of 7 VAERS symptoms same dose (3) UT matches 2021-10-25 / 2021-10-26 / 2021-10-28
received the same day as the last call
 case 1130040

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

  1. 2021-01-08
    Dose 1 — Moderna
  2. 2021-02-04
    Dose 2 — Moderna
  3. 2021-10-25
    Dose 3 — Moderna
  4. 2021-10-27
    Registered in v-safe
  5. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Breast pain, Lymph node pain, Lymphadenopathy, Pain — Feeling: Fair · Site: Pain, Swelling · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: severe lymph node swelling in the armpit area and under arm of the injection arm. Swelling has fill in the armpit area so there is no visible indent compared to the other side. Area is extremely painful, pain radiating into left breast.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-10-27
    Report sent to call center — days 1–6 daily, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  7. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Be unable to do your normal daily activities
    Free text: Some swelling in under arm lymph nodes on injection side , has decreased by half since yesterday. I was able to resume work today and did not require narcotic pain management
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-10-28
  9. 2021-10-28
    Call successful
    Completed over the phone
  10. 2021-10-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy, Pain — Feeling: Good · Site: Pain, Swelling
    Free text: Persisting swelling in lymph nodes under arm. Mild pain. Getting slowly better every day
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  12. 2021-11-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-11-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  16. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-12-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-01-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna No
22021-02-04Moderna No
32021-10-25Moderna No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): severe lymph node swelling in the armpit area and under arm of the injection arm. Swelling has fill in the armpit area so there is no visible indent compared to the other side. Area is extremely painful, pain radiating into left breast.

2021-10-28

Systemic reaction (other): Some swelling in under arm lymph nodes on injection side , has decreased by half since yesterday. I was able to resume work today and did not require narcotic pain management

2021-10-29

Systemic reaction (other): Persisting swelling in lymph nodes under arm. Mild pain. Getting slowly better every day

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
SROBreast pain · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROPain · · ✓

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

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