5X2-27732-49635
2 vaccinations
4 coded responses
12 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 981 / WA
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Moderna
- 2021-03-20
-
2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-22
- 2021-03-24
-
2021-03-30
Survey response — day 7, dose 1MedDRA: Oedema peripheral — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: For three days now I have a swollen anrmpit on the side of the vaccine. I did not relate it at firstyou can imagine the scareconsulted the clinic they believe its a side effectMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-03
- 2021-04-10
-
2021-04-17
Dose 2 — Moderna
- 2021-04-17
-
2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Headache, Impaired work ability, Pain — Feeling: Good · Muscle or body achesFree text: The survey came in too late last Sunday, one day after the shot, when I had a throbbing headache, body aches and weakness. Would not have been able to work, but napped for a bit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — day 7, dose 2MedDRA: Mass — Feeling: Good · Site: Pain · Muscle or body achesFree text: Lump from apparently first dose increased again in sizeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-17
Survey response — 3 months, dose 2MedDRA: Lymphadenopathy, Office visit — Feeling: GoodFree text: A lymph node under 1st side vaccine is swollen and staying that wayhave had mammogram and physical examination and doesnt seem to be related to breastdrs believe it to be relito vaccineMedDRA releases: 2024-11 · check-in free text available
- 2021-10-16
-
2022-01-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): For three days now I have a swollen anrmpit on the side of the vaccine. I did not relate it at firstyou can imagine the scareconsulted the clinic they believe its a side effect
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): The survey came in too late last Sunday, one day after the shot, when I had a throbbing headache, body aches and weakness. Would not have been able to work, but napped for a bit.
Release 8 — day 7, dose 2
Systemic reaction (other): Lump from apparently first dose increased again in size
Release 9 — 3 months, dose 2
Symptoms: A lymph node under 1st side vaccine is swollen and staying that wayhave had mammogram and physical examination and doesnt seem to be related to breastdrs believe it to be relito vaccine
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 |
|---|---|---|---|---|
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Mass | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release