5LQ-26178-68846
3 vaccinations
14 coded responses
24 check-ins
14 free-text entries
9 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 113 / NY
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-10
Dose 1 — Moderna
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2021-02-25
Registered in v-safe
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2021-03-10
Dose 2 — Moderna
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2021-03-18
Survey response — day 7, dose 2MedDRA: Throat irritation — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Scratchy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
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2021-06-09
Survey response — 3 months, dose 2MedDRA: Gastrointestinal disorder — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: GI problemsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-09
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-08
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2021-10-28
Dose 3 — Moderna
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2021-10-28
Survey response — day 0, dose 3MedDRA: Throat irritation — Feeling: GoodFree text: Scratchy throatMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Swollen gland in neck, same side as the arm of injectionMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Limb mass, Neck mass — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have a lump on my arm & neck on the same side of injectionMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swollen supraclavicular lymph nodes on same side wher injection was givenMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Neck mass — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Lump in neck still there · Healthcare visit (other): Going to doctor for sonogram of lump in neck todayMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Neck mass, Unevaluable event — Feeling: Good · Site: Swelling · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Lump on neck that developed the second day after injection · Healthcare visit (other): I had a sonogram yesterday & I'm waiting for results.MedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-04
Survey response — day 7, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Swollen cervical nodes · Healthcare visit (other): Waiting on results of sonogram of swollen cervical nodes resulting from booster shotMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-08
- 2021-11-11
- 2021-11-11
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2021-11-11
Call successfulCompleted over the phone
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2021-11-18
Survey response — day 21, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Well I still have swollen lymph nodes in my neck & am being referred to have a CT scan.MedDRA releases: 2024-11 · check-in free text available
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2021-11-18
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-19
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2021-11-25
Survey response — day 28, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I still have swollen lymph nodes in my neck. My doctor is sending me for a CT scan on December 3rd.MedDRA releases: 2024-11 · check-in free text available
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2021-11-25
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-12-02
Survey response — day 35, dose 3MedDRA: Flank pain, Neck mass — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pain on side Scheduled for ct scan of lumps in neck which occurred 2 days after booster vaccinationMedDRA releases: 2024-11 · check-in free text available
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2021-12-02
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-12-03
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-09
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2022-01-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-27
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2022-04-28
Survey response — 6 months, dose 3MedDRA: Neck mass — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: After receiving the 2nd booster, the lumps in my neck (that never went away after first booster) got worse.MedDRA releases: 2024-11 · check-in free text available
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2022-10-31
Survey response — 12 months, dose 3MedDRA: Dyspnoea — Feeling: FairFree text: Shortness of breathMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
Call center
9 call center cases
9 successful
VAERS report filed, before or during a call: 6
Free text
Release 5 — day 7, dose 2
Systemic reaction (other): Scratchy throat
Release 9 — 3 months, dose 2
Symptoms: GI problems
Release 10 — day 0, dose 3
Systemic reaction (other): Scratchy throat
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen gland in neck, same side as the arm of injection
Systemic reaction (other): I have a lump on my arm & neck on the same side of injection
Systemic reaction (other): Swollen supraclavicular lymph nodes on same side wher injection was given
Systemic reaction (other): Lump in neck still there
Healthcare visit (other): Going to doctor for sonogram of lump in neck today
Systemic reaction (other): Lump on neck that developed the second day after injection
Healthcare visit (other): I had a sonogram yesterday & I'm waiting for results.
Release 10 — day 7, dose 3
Systemic reaction (other): Swollen cervical nodes
Healthcare visit (other): Waiting on results of sonogram of swollen cervical nodes resulting from booster shot
Release 10 — day 21, dose 3
Symptoms: Well I still have swollen lymph nodes in my neck & am being referred to have a CT scan.
Release 10 — day 28, dose 3
Symptoms: I still have swollen lymph nodes in my neck. My doctor is sending me for a CT scan on December 3rd.
Release 10 — day 35, dose 3
Symptoms: Pain on side Scheduled for ct scan of lumps in neck which occurred 2 days after booster vaccination
Release 11 — 6 months, dose 3
Symptoms: After receiving the 2nd booster, the lumps in my neck (that never went away after first booster) got worse.
Release 12 — 12 months, dose 3
Symptoms: Shortness of breath
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 | Lymphadenopathy | · | · | ✓ |
| HCVO | Neck mass | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Neck mass | · | · | ✓ |
| SRO | Limb mass | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Neck mass | · | · | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release