6A5-21571-42153
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 721 / AR
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen lymph nodes in left armpit; diameter approximately golf ball size.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: PainFree text: Pain is due to swollen lymph node in left armpit of the injection arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Pain — Feeling: GoodFree text: Still have swollen lymph node on injection arm-left armpit; no pain, only sore a little!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
-
2021-03-05
Survey response — day 7, dose 2MedDRA: Back pain, Chest discomfort, Pre-existing disease, Self-medication — Feeling: FairFree text: Back pain between shoulder blades started on 3/3...taken ibuprofen for pain. Pressure began to emit forward in chest, had prior event like this 2 years ago, I do not believe it is related 3/4 & 3/5MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
-
2021-08-27
Survey response — 6 months, dose 2MedDRA: Abdominal pain, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Severe Abdominal pain for a continuous 5 days. Had a few days of severe cold symptoms but cleared up.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-03-01
Survey response — 12 months, dose 2MedDRA: COVID-19, Pancreatitis acute — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Developed Acute Pancreatitis with unknown causes; had Covid.MedDRA releases: 2024-11 · check-in free text available
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2022-03-01
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-03-03
- 2022-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes in left armpit; diameter approximately golf ball size.
Systemic reaction (other): Pain is due to swollen lymph node in left armpit of the injection arm.
Systemic reaction (other): Still have swollen lymph node on injection arm-left armpit; no pain, only sore a little!
Release 5 — day 7, dose 2
Systemic reaction (other): Back pain between shoulder blades started on 3/3...taken ibuprofen for pain. Pressure began to emit forward in chest, had prior event like this 2 years ago, I do not believe it is related 3/4 & 3/5
Release 9 — 6 months, dose 2
Symptoms: Severe Abdominal pain for a continuous 5 days. Had a few days of severe cold symptoms but cleared up.
Release 11 — 12 months, dose 2
Symptoms: Developed Acute Pancreatitis with unknown causes; had Covid.
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 | Abdominal pain | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Pancreatitis acute | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release