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5JU-27603-95090

5 vaccinations 5 coded responses 34 check-ins 4 free-text entries 2 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
077 / NJ
Registered
2021-02-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-16
    Dose 1 — Moderna
  2. 2021-02-17
    Registered in v-safe
  3. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-02
    Survey response — day 14, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: swollen lymph node under arm of vaccinated arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-16
    Dose 2 — Moderna
  13. 2021-03-16
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain, Swelling
    Free text: Lymph node under vaccinated arm starting to swell. this happened after the first dose too.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  19. 2021-03-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-16
    Survey response — 6 months, dose 2
    MedDRA: Electrocardiogram abnormal, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: 2 EKGs detected a possible silent heart attack. However, since my last EKG/echocardiogram/cardiac CT scans were 2 years ago its impossible to know when this might have happened. The cardiologist did say he has seen an uptick in similar EKG results · Healthcare visit (other): Office visit with cardiologist
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-09-16
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-09-20
  29. 2021-11-10
    Dose 3 — Moderna
  30. 2022-03-16
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-05-12
    Dose 4 — Moderna
  32. 2022-05-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-05-19
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-05-26
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-06-02
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-06-10
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-06-16
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-06-23
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-08-11
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-10-02
    Dose 5 — Moderna
  41. 2022-10-05
    Survey response — days 1–6 daily, dose 5
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain
    Free text: slightly swollen lymph node
    MedDRA releases: 2024-11 · check-in free text available
  42. 2023-01-01
    Survey response — 3 months, dose 5
    MedDRA: Bundle branch block, Electrocardiogram abnormal, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  43. 2023-01-01
    Report sent to call center — 3 months, dose 5
    Get care from a doctor or other healthcare professional
    1 call case(s)
  44. 2023-01-03
  45. 2023-01-03

Vaccinations

DoseDateManufacturerCo-administered
12021-02-16Moderna
22021-03-16Moderna
32021-11-10Moderna No
42022-05-12Moderna No
52022-10-02Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-03-02

Symptoms: swollen lymph node under arm of vaccinated arm

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Lymph node under vaccinated arm starting to swell. this happened after the first dose too.

Release 9 — 6 months, dose 2

2021-09-16

Symptoms: 2 EKGs detected a possible silent heart attack. However, since my last EKG/echocardiogram/cardiac CT scans were 2 years ago its impossible to know when this might have happened. The cardiologist did say he has seen an uptick in similar EKG results
Healthcare visit (other): Office visit with cardiologist

Release 12 — days 1–6 daily, dose 5

2022-10-05

Systemic reaction (other): slightly swollen lymph node

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 · · ✓
SDBundle branch block · · ✓
SDElectrocardiogram abnormal · · ✓
SDLymphadenopathy ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROReaction to previous exposure to any vaccine ✓ ✓ ✓

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

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