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5RZ-20984-96408

3 vaccinations 15 coded responses 29 check-ins 15 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
333 / FL
Registered
2021-05-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-11
    Dose 1 — Moderna
  2. 2021-05-18
    Registered in v-safe
  3. 2021-05-18
    Survey response — day 7, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: Tenderness and swelling of lymph nodes in armpit of arm where injection was made
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-26
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth — Feeling: Fair
    Free text: What started as a few itchy bumps at the injection site expanded to a big itchy red patch 2x3 inches in size on my shoulder over the course of two days. The area was also noticeably swollen and warm to the touch.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-02
    Survey response — day 21, dose 1
    MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good
    Free text: There is a persistent itchiness on the inner shoulder of the injection arm. This area is located at the outermost extent of the original red, itchy area though the redness is no longer present.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-08
    Survey response — day 28, dose 1
    MedDRA: Fatigue, Injection site pruritus, Nasal congestion, Pyrexia — Feeling: Fair
    Free text: Itch on inside of injection arm shoulder present off and on throughout each and every day. Nasal congestion, low-grade fever and fatigue present over the last 3 days prevented me from getting my scheduled 2nd dose today. :(
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-16
    Survey response — day 35, dose 1
    MedDRA: Pruritus — Feeling: Fair
    Free text: Itching still present on inner shoulder of injection arm on a daily basis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-18
    Dose 2 — Moderna
  9. 2021-06-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Swelling
    Free text: Swollen and painful axial lymph nodes in injection arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · Rash, not including the immediate area around the injection site
    Adult check-in
  11. 2021-06-25
    Health check-in — day 7, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  12. 2021-07-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-07-11
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-07-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-23
    Survey response — day 35, dose 2
    MedDRA: Pyrexia, Rhinorrhoea, Sneezing — Feeling: Good
    Free text: Runny nose, sneezing, low-grade fever
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-07-31
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-09-17
    Survey response — 3 months, dose 2
    MedDRA: Erythema, Pruritus, Urticaria — Feeling: Good
    Free text: I am still experiencing occasional itching with redness and sometimes hives on the inside of my shoulder on the arm where I received the 1st shot.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-12-17
    Survey response — 6 months, dose 2
    MedDRA: Lymphadenopathy, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Bilateral inguinal lymphadenopathy · Healthcare visit (other): Primary care physician office visit
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-12-17
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-12-19
    Dose 3 — Moderna
  21. 2021-12-20
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Unusually heavy menstrual bleeding. Thick coagulated/clotted menstrual blood.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-12-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Pain — Feeling: Fair · Fever · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Painful, tender axial and elbow lymph nodes on injection arm. Throbbing pain in inguinal lymph nodes on same side of body as injection arm.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-12-21
  24. 2021-12-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness, Abdominal pain
    Free text: Pain and tenderness in lymph nodes on right side of body (axial, elbow, inguinal)
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-12-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Abdominal pain
    Free text: Painful swelling and tenderness in axial and elbow lymph nodes on injection arm.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-12-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Joint pains, Abdominal pain
    Adult check-in
  27. 2021-12-26
    Health check-in — day 7, dose 3
    Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  28. 2022-01-02
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  29. 2022-01-09
    Survey response — day 21, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair
    Free text: Painful swelling of axial lymph nodes on injection arm. Pain and swelling extending into lymph tissue on chest. Painful swelling of inguinal lymph nodes both sides of body.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-01-16
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  31. 2022-01-24
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-01-30
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-03-22
    Health check-in — 3 months, dose 3
    Feeling: Poor
    Adult check-in
  34. 2022-06-19
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  35. 2022-12-19
    Survey response — 12 months, dose 3
    MedDRA: Fatigue, Incomplete course of vaccination, Injection site pruritus, Lymph node pain, Urticaria — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I am extremely exhausted. My right shoulder and upper arm where I received 2 injections breaks out in hives every day and itches. There is persistent pain in my right axial lymph nodes. Because of this I will not receive another injection.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-11Moderna
22021-06-18Moderna No
32021-12-19Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 7, dose 1

2021-05-18

Systemic reaction (other): Tenderness and swelling of lymph nodes in armpit of arm where injection was made

Release 8 — day 14, dose 1

2021-05-26

Symptoms: What started as a few itchy bumps at the injection site expanded to a big itchy red patch 2x3 inches in size on my shoulder over the course of two days. The area was also noticeably swollen and warm to the touch.

Release 8 — day 21, dose 1

2021-06-02

Symptoms: There is a persistent itchiness on the inner shoulder of the injection arm. This area is located at the outermost extent of the original red, itchy area though the redness is no longer present.

Release 8 — day 28, dose 1

2021-06-08

Symptoms: Itch on inside of injection arm shoulder present off and on throughout each and every day. Nasal congestion, low-grade fever and fatigue present over the last 3 days prevented me from getting my scheduled 2nd dose today. :(

Release 9 — day 35, dose 1

2021-06-16

Symptoms: Itching still present on inner shoulder of injection arm on a daily basis.

Release 9 — days 1–6 daily, dose 2

2021-06-22

Systemic reaction (other): Swollen and painful axial lymph nodes in injection arm

Release 9 — day 35, dose 2

2021-07-23

Symptoms: Runny nose, sneezing, low-grade fever

Release 9 — 3 months, dose 2

2021-09-17

Symptoms: I am still experiencing occasional itching with redness and sometimes hives on the inside of my shoulder on the arm where I received the 1st shot.

Release 10 — 6 months, dose 2

2021-12-17

Symptoms: Bilateral inguinal lymphadenopathy
Healthcare visit (other): Primary care physician office visit

Release 10 — days 1–6 daily, dose 3

2021-12-20

Systemic reaction (other): Unusually heavy menstrual bleeding. Thick coagulated/clotted menstrual blood.

2021-12-21

Systemic reaction (other): Painful, tender axial and elbow lymph nodes on injection arm. Throbbing pain in inguinal lymph nodes on same side of body as injection arm.

2021-12-22

Systemic reaction (other): Pain and tenderness in lymph nodes on right side of body (axial, elbow, inguinal)

2021-12-23

Systemic reaction (other): Painful swelling and tenderness in axial and elbow lymph nodes on injection arm.

Release 10 — day 21, dose 3

2022-01-09

Symptoms: Painful swelling of axial lymph nodes on injection arm. Pain and swelling extending into lymph tissue on chest. Painful swelling of inguinal lymph nodes both sides of body.

Release 12 — 12 months, dose 3

2022-12-19

Symptoms: I am extremely exhausted. My right shoulder and upper arm where I received 2 injections breaks out in hives every day and itches. There is persistent pain in my right axial lymph nodes. Because of this I will not receive another injection.

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 · · ✓
SDErythema · · ✓
SDFatigue ✓ ✓ ✓
SDIncomplete course of vaccination · · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDLymph node pain · · ✓
SDLymphadenopathy · · ✓
SDNasal congestion ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRhinorrhoea ✓ · ✓
SDSneezing ✓ · ✓
SDUrticaria · · ✓
SROAbnormal menstrual clots · · ✓
SROHeavy menstrual bleeding · · ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPain · · ✓

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

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