6A2-11757-82475
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 189 / PA
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Moderna
- 2021-01-20
- 2021-01-22
- 2021-01-23
-
2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-25
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: Swollen lymph node under the arm that received the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — day 7, dose 1MedDRA: Lymph node pain, Peripheral swelling — Feeling: Good · Site: Pain, SwellingFree text: Pain and swelling in lymph node underarm on arm receiving shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-10
-
2021-02-17
Dose 2 — Moderna
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Enlarged lymph node under shot armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
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2021-05-19
Survey response — 3 months, dose 2MedDRA: Lymphadenopathy, Mobility decreased — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ive experience swelling of my lymph node after the first shot. It resolved. After the second shot it was smaller, but I have'd issues getting full mobility back in my arm. Ive seen an orthopedic dr and will start PT next week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-18
Survey response — 6 months, dose 2MedDRA: Office visit, Periarthritis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have a frozen shoulder (confirmed by my doc) on the vaccination arm. I didnt know what it was at first, but it started after the second shot,MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-18
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
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2021-08-20
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen lymph node under the arm that received the shot.
Release 2 — day 7, dose 1
Systemic reaction (other): Pain and swelling in lymph node underarm on arm receiving shot.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Enlarged lymph node under shot arm
Release 8 — 3 months, dose 2
Symptoms: Ive experience swelling of my lymph node after the first shot. It resolved. After the second shot it was smaller, but I have'd issues getting full mobility back in my arm. Ive seen an orthopedic dr and will start PT next week.
Release 9 — 6 months, dose 2
Symptoms: I have a frozen shoulder (confirmed by my doc) on the vaccination arm. I didnt know what it was at first, but it started after the second shot,
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 | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Periarthritis | ✓ | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release