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
-
2021-01-08
Registered in v-safe
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2021-01-08
Dose 1 — Moderna
- 2021-01-08
- 2021-01-09
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Swelling — Feeling: Good · HeadacheFree text: Bump on my neck, same side that the vaccine went in. Possible suspected swollen lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Office visit — Feeling: Good · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Swollen Lymph Node on Neck (same side as injection site) · Healthcare visit (other): Primary Care Physician Office Visit In-PersonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-15
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Headache, Fatigue or tirednessFree text: Swollen Lymph Node on Neck (same side as injection)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Survey response — day 14, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen Lymph node in neck on same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
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2021-02-03
Dose 2 — Moderna
- 2021-02-03
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2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: 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 activitiesAdult check-in
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2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Cold sweat, Injection site warmth, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: swollen lymph node on neck (same side as injection site), arm warm to touch where injection occurred, cold sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessFree text: swollen lymph node in neck moderate pain,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching · HeadacheFree text: swollen lymph node in neck same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: swollen lymph node in neck same side as injectionMedDRA 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: Injection site bruising, Lymphadenopathy — Feeling: Good · Site: Redness · Headache, Fatigue or tirednessFree text: Swollen Lymph node in neck same side as injection site, bruising around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Headache, Fatigue or tirednessFree text: swollen lymph node in neck. same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-24
- 2021-03-03
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2021-03-09
Call successfulParticipant prefers to complete VAERS report online
- 2021-03-11
- 2021-03-17
- 2021-05-05
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2021-08-04
Survey response — 6 months, dose 2MedDRA: Sinusitis — Feeling: FairFree text: sinus infectionMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Bump on my neck, same side that the vaccine went in. Possible suspected swollen lymph node
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
Systemic reaction (other): Swollen Lymph Node on Neck (same side as injection)
Release 2 — day 14, dose 1
Symptoms: Swollen Lymph node in neck on same side as injection
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): swollen lymph node on neck (same side as injection site), arm warm to touch where injection occurred, cold sweats
Systemic reaction (other): swollen lymph node in neck moderate pain,
Systemic reaction (other): swollen lymph node in neck same side as injection
Systemic reaction (other): swollen lymph node in neck same side as injection
Systemic reaction (other): Swollen Lymph node in neck same side as injection site, bruising around injection site
Release 4 — day 7, dose 2
Systemic reaction (other): swollen lymph node in neck. same side as injection
Release 9 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | · | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release