6DQ-37116-19201
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 105 / NY
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
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2021-01-15
Dose 1 — Moderna
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2021-01-15
Survey response — day 0, dose 1MedDRA: Decreased appetite — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-16
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-29
- 2021-02-05
- 2021-02-12
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2021-02-15
Dose 2 — Moderna
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2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Chronic lymphocytic leukaemia, Lymph node pain, Lymphadenopathy, Medical counselling, Pain, Pre-existing disease — Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have CLL. My lymph nodes around my neck and especially under left armpit, which is the arm I had the shot, is so swollen that it hurts badly, when I lift anything with my left arm or put my Rm against my body. This lymph node cant be pressed in any way because it hurts badly. My CLL doctor told me to monitor my symptoms and let him know how I am doing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My lymph nodes under my left armpit are still severely swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — day 7, dose 2MedDRA: Lymphadenopathy, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The lymph node under my left armpit and the lymph nodes around my neck are still swollen due to my CLLMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — day 14, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The enlarged lymph node under my left armpit which is the arm I had my shot has now developed more protruding lymph nodes in the front of this arm. Lymph node under my armpit has lessenedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-15 | Moderna |
Call center
2 call center cases
2 priority 2/3 (triaged and no follow up)
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Loss of appetite
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have CLL. My lymph nodes around my neck and especially under left armpit, which is the arm I had the shot, is so swollen that it hurts badly, when I lift anything with my left arm or put my Rm against my body. This lymph node cant be pressed in any way because it hurts badly. My CLL doctor told me to monitor my symptoms and let him know how I am doing.
Systemic reaction (other): My lymph nodes under my left armpit are still severely swollen
Release 4 — day 7, dose 2
Systemic reaction (other): The lymph node under my left armpit and the lymph nodes around my neck are still swollen due to my CLL
Release 4 — day 14, dose 2
Symptoms: The enlarged lymph node under my left armpit which is the arm I had my shot has now developed more protruding lymph nodes in the front of this arm. Lymph node under my armpit has lessened
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 | ✓ | ✓ | ✓ |
| SRO | Chronic lymphocytic leukaemia | ○ | ✓ | ○ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release