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RWH-31560-66879

1 vaccination 2 coded responses 4 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
602 / IL
Registered
2021-01-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Dose 1 — Moderna
  2. 2021-01-16
    Registered in v-safe
  3. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Large swollen lymph node in armpit of shot arm for first 3 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-09
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-19
    Survey response — 3 months, dose 1
    MedDRA: Chills, Headache, Pain, Pyrexia — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: Day after shot number 2, i had fever aches chills headache for 18 hours (starting 12 hours after the shot)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-19
    Report sent to call center — 3 months, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Large swollen lymph node in armpit of shot arm for first 3 days

Release 7 — 3 months, dose 1

2021-04-19

Symptoms: Day after shot number 2, i had fever aches chills headache for 18 hours (starting 12 hours after the shot)

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
SDChills ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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