Y78-21540-99626
4 vaccinations
3 coded responses
23 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 371 / TN
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
- 2021-03-25
- 2021-03-26
-
2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-03-28
- 2021-03-29
- 2021-03-31
- 2021-04-01
- 2021-04-08
-
2021-04-15
Survey response — day 21, dose 1MedDRA: Lymphadenopathy, Neck mass, Office visit, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Noticed a lump last week on my lower neck error left side by collar bone. Went to doctor and she said maybe related to vaccination. Have to schedule an ultrasound.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-22
Dose 2 — Moderna
-
2021-05-06
Survey response — day 14, dose 2MedDRA: Induration, Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Lymph nodes hard and swollen. Doctor said it can last up to 6 months.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-13
Survey response — day 21, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Not sure if related to COVID vaccination. The skin on my hands became hard. Small section of right hand hard, bumpy, and discolored. Never happened in my life. Appearance and texture similar to eczema which I dont have.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-06-05
-
2021-10-21
Dose 3 — ModernaCo-administered: Flu
- 2021-10-21
- 2021-10-30
- 2021-11-05
- 2021-11-11
- 2021-11-20
- 2021-11-25
- 2021-12-04
- 2022-01-20
- 2022-01-22
-
2022-04-30
Dose 4 — Moderna
- 2022-05-15
- 2022-08-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-10-21 | Moderna | Flu |
| 4 | 2022-04-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-15 | Unsuccessful | |
| 2021-05-06 | Unsuccessful |
Free text
Release 7 — day 21, dose 1
Symptoms: Noticed a lump last week on my lower neck error left side by collar bone. Went to doctor and she said maybe related to vaccination. Have to schedule an ultrasound.
Release 8 — day 14, dose 2
Symptoms: Lymph nodes hard and swollen. Doctor said it can last up to 6 months.
Release 8 — day 21, dose 2
Symptoms: Not sure if related to COVID vaccination. The skin on my hands became hard. Small section of right hand hard, bumpy, and discolored. Never happened in my life. Appearance and texture similar to eczema which I dont have.
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 | Induration | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Neck mass | ✓ | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release