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Y8T-96018-24286

4 vaccinations 14 coded responses 47 check-ins 14 free-text entries 3 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
782 / TX
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Registered in v-safe
  2. 2021-01-12
    Dose 1 — Moderna
  3. 2021-01-12
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea
    Free text: Swollen lymph nodes under arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling
    Free text: Lymph nodes swollen in armpit on vaccinated arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-26
    Survey response — day 14, dose 1
    MedDRA: Injection site pruritus — Feeling: Good
    Free text: My ear canal on the vaccinated side is itchy, a problem Ive had for about a week. I dont recall ever having this problem before in my life. Its minor but annoying. It may be unrelated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-09
    Dose 2 — Moderna
  14. 2021-02-09
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  15. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Dizziness this morning
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Fever · Fatigue or tiredness
    Free text: Swelling in underarm lymph nodes on vaccinated aide
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Diarrhea
    Free text: Swollen lymph node in armpit of vaccinated arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy, Respiratory tract congestion — Feeling: Fair
    Free text: Swollen lymph node in armpit of vaccinated arm; chest congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-11
    Survey response — 3 months, dose 2
    MedDRA: Back pain, Headache, Neck pain, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Several-week headache at base of skull plus upper back/neck pain. Probably positional, related to excessive reading at end of semester. · Healthcare visit (other): Massage
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-05-11
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-08-11
    Survey response — 6 months, dose 2
    MedDRA: Dizziness, Ear discomfort, Ear pruritus, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Right ear has been clogged off and on, and I had a few weeks of dizziness, some severe. I have had trouble with this ear since the first shot of the vaccine; the first symptom was itchiness, which persists. · Healthcare visit (other): In-person dr visit
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  30. 2021-08-11
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  31. 2021-08-16
  32. 2021-10-23
    Dose 3 — Moderna
    Co-administered: Flu
  33. 2021-10-25
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Large swollen lymph node under arm
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Painful swollen lymph node under arm
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-10-30
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-13
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  39. 2021-11-21
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-04-11
    Dose 4 — Moderna
  44. 2022-04-15
    Survey response — days 1–6 daily, dose 4
    MedDRA: Erythema, Feeling hot, Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Redness, Swelling
    Free text: Goose egg in armpit from swollen lymph nodes; painful, red, warm
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-04-16
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Still some swelling and tenderness of lymph nodes in armpit
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-04-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-04-18
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-04-25
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-05-02
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-05-09
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-05-16
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-05-23
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-07-13
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-10-12
    Survey response — 6 months, dose 4
    MedDRA: Pre-existing disease, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Allergy to something (likely seafood) causing recurrent hives
    MedDRA releases: 2024-11 · check-in free text available
  55. 2022-10-12
    Report sent to call center — 6 months, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  56. 2022-10-13
  57. 2022-10-13
  58. 2022-10-13
  59. 2023-04-11
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna
32021-10-23Moderna Flu
42022-04-11Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-11 Unsuccessful
2021-08-11 Unsuccessful
2022-10-12 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Swollen lymph nodes under arm

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Lymph nodes swollen in armpit on vaccinated arm

Release 2 — day 14, dose 1

2021-01-26

Symptoms: My ear canal on the vaccinated side is itchy, a problem Ive had for about a week. I dont recall ever having this problem before in my life. Its minor but annoying. It may be unrelated.

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Dizziness this morning

2021-02-11

Systemic reaction (other): Swelling in underarm lymph nodes on vaccinated aide

2021-02-12

Systemic reaction (other): Swollen lymph node in armpit of vaccinated arm

2021-02-14

Systemic reaction (other): Swollen lymph node in armpit of vaccinated arm; chest congestion

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: Several-week headache at base of skull plus upper back/neck pain. Probably positional, related to excessive reading at end of semester.
Healthcare visit (other): Massage

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Right ear has been clogged off and on, and I had a few weeks of dizziness, some severe. I have had trouble with this ear since the first shot of the vaccine; the first symptom was itchiness, which persists.
Healthcare visit (other): In-person dr visit

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): Large swollen lymph node under arm

2021-10-26

Systemic reaction (other): Painful swollen lymph node under arm

Release 11 — days 1–6 daily, dose 4

2022-04-15

Systemic reaction (other): Goose egg in armpit from swollen lymph nodes; painful, red, warm

2022-04-16

Systemic reaction (other): Still some swelling and tenderness of lymph nodes in armpit

Release 12 — 6 months, dose 4

2022-10-12

Symptoms: Allergy to something (likely seafood) causing recurrent hives

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 ✓ · ✓
HCVOUnevaluable event ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDDizziness ✓ · ✓
SDEar discomfort ✓ · ✓
SDEar pruritus ✓ · ✓
SDHeadache ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDPre-existing disease · · ✓
SDUrticaria · · ✓
SRODizziness ✓ ✓ ✓
SROErythema · · ✓
SROFeeling hot · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓

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

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