6TY-16628-79627
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 940 / CA
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
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2021-01-23
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling, Lymphadenopathy — Feeling: GoodFree text: Redness and swelling on the arm below injection site. Lymphadenopathy in the axilla on the same side as injection. Low grade fever lasted one day on the onset of swelling and lymphadenopathy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
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2021-02-06
Dose 2 — Moderna
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2021-02-06
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Swelling — Feeling: GoodFree text: Mild lymph node swelling in axillaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
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2021-02-27
Survey response — day 21, dose 2MedDRA: Lymphadenitis, Muscle spasms, Muscle tightness — Feeling: GoodFree text: Muscle tightness shoulder/neck area on the side of vaccination, occasional muscle spasm. Mild lymph node inflammation on the same side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-13
- 2021-03-22
- 2021-05-08
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2021-08-07
Survey response — 6 months, dose 2MedDRA: Arthralgia, Brain fog, Muscle tightness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Muscle tension in neck and upper back on the side of injection. Elbow and should joint pain, on occasion. Brain fog.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-06
Survey response — 12 months, dose 2MedDRA: Arthralgia, Dry skin, Muscle twitching, Muscular weakness, Myalgia, Office visit, Rash — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Joint pain and muscle twitches on the left side (not terrible and sporadic, but definitely something new). Pain in left elbow does affect the strength of my arm. Not sure if I reported it last time, but skin rash (eczema looking patches along scalp) · Healthcare visit (other): Chiropractor to work on muscle and joint painMedDRA releases: 2024-11 · check-in free text available
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2022-02-06
Report sent to call center — 12 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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2022-02-25
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 2 — day 14, dose 1
Symptoms: Redness and swelling on the arm below injection site. Lymphadenopathy in the axilla on the same side as injection. Low grade fever lasted one day on the onset of swelling and lymphadenopathy.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Mild lymph node swelling in axilla
Release 4 — day 21, dose 2
Symptoms: Muscle tightness shoulder/neck area on the side of vaccination, occasional muscle spasm. Mild lymph node inflammation on the same side.
Release 9 — 6 months, dose 2
Symptoms: Muscle tension in neck and upper back on the side of injection. Elbow and should joint pain, on occasion. Brain fog.
Release 11 — 12 months, dose 2
Symptoms: Joint pain and muscle twitches on the left side (not terrible and sporadic, but definitely something new). Pain in left elbow does affect the strength of my arm. Not sure if I reported it last time, but skin rash (eczema looking patches along scalp) cut off by CDC
Healthcare visit (other): Chiropractor to work on muscle and joint pain
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 |
|---|---|---|---|---|
| HCVO | Arthralgia | · | · | ✓ |
| HCVO | Myalgia | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Brain fog | ✓ | · | ✓ |
| SD | Dry skin | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Lymphadenitis | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Muscle tightness | ✓ | ✓ | ✓ |
| SD | Muscle twitching | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | · | ✓ |
| SRO | Swelling | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release