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9EC-28846-24016

1 vaccination 7 coded responses 12 check-ins 7 free-text entries 3 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
460 / IN
Registered
2021-01-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-02
    Registered in v-safe
  2. 2021-01-02
    Dose 1 — Moderna
  3. 2021-01-02
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Diarrhea
    Adult check-in
  4. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-03
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-04
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  8. 2021-01-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: Swollen and tender lymph nodes at neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-06
  10. 2021-01-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site rash, Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: Swollen lymph nodes and spreading rash at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-09
    Survey response — day 7, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-01-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-04-03
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-07-03
    Survey response — 6 months, dose 1
    MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: High blood pressure
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-07-03
    Report sent to call center — 6 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-07-07
  19. 2022-01-04
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Swollen lymph nodes

2021-01-04

Systemic reaction (other): Swollen lymph nodes

2021-01-06

Systemic reaction (other): Swollen and tender lymph nodes at neck

2021-01-07

Systemic reaction (other): Swollen lymph nodes

2021-01-08

Systemic reaction (other): Swollen lymph nodes and spreading rash at injection site

Release 1 — day 7, dose 1

2021-01-09

Systemic reaction (other): Swollen lymph nodes

Release 9 — 6 months, dose 1

2021-07-03

Symptoms: High blood pressure

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

FieldPreferred term2021-092023-042024-11
SDHypertension ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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