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GN6-30555-63473

4 vaccinations 4 coded responses 10 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
777 / TX
Registered
2022-04-23
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-31
    Dose 1 — Moderna
  2. 2021-04-28
    Dose 2 — Moderna
  3. 2021-09-29
    Dose 3 — Moderna
  4. 2022-04-22
    Dose 4 — Moderna
  5. 2022-04-23
    Registered in v-safe
  6. 2022-04-23
    Survey response — days 1–6 daily, dose 4
    MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling
    Free text: swollen under arm on side of injection
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-04-24
    Survey response — days 1–6 daily, dose 4
    MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling
    Free text: swelling under left arm where injection was given
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-04-25
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling
    Free text: lymph node under arm ,same side as injection swollen
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-04-30
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  10. 2022-05-06
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  11. 2022-05-13
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  12. 2022-05-20
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  13. 2022-05-27
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  14. 2022-06-03
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  15. 2022-07-22
    Survey response — 3 months, dose 4
    MedDRA: Malaise, Office visit, SARS-CoV-2 test positive — 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
    Free text: Symptoms: Tested positive for Covid, had all symptoms · Healthcare visit (other): Drs office
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-07-22
    Report sent to call center — 3 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  17. 2022-07-25
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna No
22021-04-28Moderna No
32021-09-29Moderna No
42022-04-22Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 11 — days 1–6 daily, dose 4

2022-04-23

Systemic reaction (other): swollen under arm on side of injection

2022-04-24

Systemic reaction (other): swelling under left arm where injection was given

2022-04-25

Systemic reaction (other): lymph node under arm ,same side as injection swollen

Release 12 — 3 months, dose 4

2022-07-22

Symptoms: Tested positive for Covid, had all symptoms
Healthcare visit (other): Drs office

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
HCVOOffice visit · · ✓
SDMalaise · · ✓
SDSARS-CoV-2 test positive · · ✓
SROLymphadenopathy · · ✓
SROOedema peripheral · · ✓

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