UKV-29962-67098
5 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 020 / MA
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
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2021-03-25
Registered in v-safe
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2021-03-25
Survey response — day 14, dose 1MedDRA: Lymph node pain, Lymphadenopathy, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swollen supraclavicular lymph node discovered on left side (same side as vaccine) 5 days following vaccination. Was very tender at the time but tenderness has improved. Still swollen 19 days post vaccine but has not worsened.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-26
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2021-04-02
Dose 2 — Moderna
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2021-04-02
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
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2021-04-07
Call successfulParticipant prefers to complete VAERS report online
- 2021-04-08
- 2021-04-09
- 2021-04-23
- 2021-05-07
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2021-10-02
Survey response — 6 months, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: I received a TDap booster and experienced swelling and tenderness of the same supraclavicular lymph node that I had swelling and tenderness of with my first Covid vaccine. This had not happened when I received vaccines prior to receiving my Covid vacMedDRA releases: 2024-11 · check-in free text available
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2021-10-25
Dose 3 — Moderna
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen supraclavicular lymph nodeMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-17
- 2021-12-06
- 2022-01-26
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2022-07-14
Dose 4 — Moderna
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2022-09-13
Dose 5 — ModernaCo-administered: Flu
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2022-09-17
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2022-09-18
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-07-14 | Moderna | No |
| 5 | 2022-09-13 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 6 — day 14, dose 1
Symptoms: Swollen supraclavicular lymph node discovered on left side (same side as vaccine) 5 days following vaccination. Was very tender at the time but tenderness has improved. Still swollen 19 days post vaccine but has not worsened.
Release 9 — 6 months, dose 2
Symptoms: I received a TDap booster and experienced swelling and tenderness of the same supraclavicular lymph node that I had swelling and tenderness of with my first Covid vaccine. This had not happened when I received vaccines prior to receiving my Covid vac cut off by CDC
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen supraclavicular lymph node
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 | Lymph node pain | ✓ | · | ✓ |
| SD | Lymphadenopathy | ✓ | · | ✓ |
| SD | Swelling | ○ | ✓ | ○ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release