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5H5-57431-73220

2 vaccinations 11 coded responses 22 check-ins 11 free-text entries 1 call case
Sex
Female
Age at first dose
16-20
ZIP prefix
117 / NY
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, Itching · None
    Adult check-in
  4. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness · None
    Adult check-in
  5. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy, Swelling — Feeling: Good · Headache
    Free text: Bump on my neck, same side that the vaccine went in. Possible suspected swollen lymph node
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy, Office visit — Feeling: Good · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Swollen Lymph Node on Neck (same side as injection site) · Healthcare visit (other): Primary Care Physician Office Visit In-Person
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-14
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-01-15
    Survey response — day 7, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Swollen Lymph Node on Neck (same side as injection)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-22
    Survey response — day 14, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen Lymph node in neck on same side as injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-03
    Dose 2 — Moderna
  12. 2021-02-03
    Health check-in — day 0, dose 2
    Feeling: Good · Headache
    Adult check-in
  13. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cold sweat, Injection site warmth, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: swollen lymph node on neck (same side as injection site), arm warm to touch where injection occurred, cold sweats
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Free text: swollen lymph node in neck moderate pain,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching · Headache
    Free text: swollen lymph node in neck same side as injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: swollen lymph node in neck same side as injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising, Lymphadenopathy — Feeling: Good · Site: Redness · Headache, Fatigue or tiredness
    Free text: Swollen Lymph node in neck same side as injection site, bruising around injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-10
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Headache, Fatigue or tiredness
    Free text: swollen lymph node in neck. same side as injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-03
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-03-09
    Call successful
    Participant prefers to complete VAERS report online
  24. 2021-03-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-17
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-05-05
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-08-04
    Survey response — 6 months, dose 2
    MedDRA: Sinusitis — Feeling: Fair
    Free text: sinus infection
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-03Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Bump on my neck, same side that the vaccine went in. Possible suspected swollen lymph node

2021-01-14

Systemic reaction (other): Swollen Lymph Node on Neck (same side as injection site)
Healthcare visit (other): Primary Care Physician Office Visit In-Person

Release 2 — day 7, dose 1

2021-01-15

Systemic reaction (other): Swollen Lymph Node on Neck (same side as injection)

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Swollen Lymph node in neck on same side as injection

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): swollen lymph node on neck (same side as injection site), arm warm to touch where injection occurred, cold sweats

2021-02-06

Systemic reaction (other): swollen lymph node in neck moderate pain,

2021-02-07

Systemic reaction (other): swollen lymph node in neck same side as injection

2021-02-08

Systemic reaction (other): swollen lymph node in neck same side as injection

2021-02-09

Systemic reaction (other): Swollen Lymph node in neck same side as injection site, bruising around injection site

Release 4 — day 7, dose 2

2021-02-10

Systemic reaction (other): swollen lymph node in neck. same side as injection

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: sinus infection

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
HCVOOffice visit ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDSinusitis ✓ · ✓
SROCold sweat ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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