5BY-16870-50117
3 vaccinations
6 coded responses
9 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 026 / MA
- Registered
- 2021-12-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-09
Dose 1 — Moderna
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2021-04-06
Dose 2 — Moderna
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2021-12-03
Dose 3 — Moderna
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2021-12-05
Registered in v-safe
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2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: PainFree text: Pain & swelling in lymph nodes under arm area on side of injectionMedDRA releases: 2024-11 · check-in free text available
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2021-12-08
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, SwellingFree text: Still having swelling if lymph nodes but swelling is decreasingMedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: SwellingFree text: Swelling & pain in lymph nodes under right arm continues to improve. Thanks for checking on meMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-17
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2021-12-26
Survey response — day 21, dose 3MedDRA: Lacrimation increased, Pre-existing disease, Sneezing — Feeling: GoodFree text: Sneezing, runny eyes due to allergies. Cleared up.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-31
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2022-01-09
Survey response — day 35, dose 3MedDRA: Cough, Hypersensitivity, Oropharyngeal pain, Pre-existing disease, Symptom masked — Feeling: FairFree text: After wearing mask for extended period had sore throat & coughing but then it just stopped. I suspect it was the mask itself. Also my allergies seem worse - both food & environment allergies. Took a home test and it was negative. Feeling ok now.MedDRA releases: 2024-11 · check-in free text available
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2022-03-07
Survey response — 3 months, dose 3MedDRA: Arthralgia, Hypertension, Neck pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: High blood pressure, Sore neck & shoulder painMedDRA releases: 2024-11 · check-in free text available
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2022-03-07
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-03-11
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2022-03-17
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | No |
| 2 | 2021-04-06 | Moderna | No |
| 3 | 2021-12-03 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain & swelling in lymph nodes under arm area on side of injection
Systemic reaction (other): Still having swelling if lymph nodes but swelling is decreasing
Systemic reaction (other): Swelling & pain in lymph nodes under right arm continues to improve. Thanks for checking on me
Release 10 — day 21, dose 3
Symptoms: Sneezing, runny eyes due to allergies. Cleared up.
Release 10 — day 35, dose 3
Symptoms: After wearing mask for extended period had sore throat & coughing but then it just stopped. I suspect it was the mask itself. Also my allergies seem worse - both food & environment allergies. Took a home test and it was negative. Feeling ok now.
Release 11 — 3 months, dose 3
Symptoms: High blood pressure, Sore neck & shoulder pain
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 | Arthralgia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Symptom masked | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release