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Y8V-84015-05329

2 vaccinations 1 coded response 14 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
707 / LA
Registered
2021-02-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-21
    Dose 1 — Moderna
  2. 2021-02-01
    Registered in v-safe
  3. 2021-02-01
    Survey response — day 7, dose 1
    MedDRA: Axillary lymphadenectomy, Breast cancer, Injection site erythema, Injection site mass, Injection site rash, Injection site warmth, Pre-existing disease — Feeling: Good · Site: Redness
    Free text: In the beginning the injection sight had a small lump and redness. Then there seemed to be a slight rash. Then for a few more days the redness stayed and seemed hot. I had a few lymph nodes removed under my left arm twenty years ago when o had breast cancer. I had more removed under right arm so that is why I get injections on left arm. I dont know if this is why I had reaction. The redness seems to be less now and the lump is gone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-21
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-23
    Dose 2 — Moderna
  8. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-08-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-02-23
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna
22021-02-23Moderna

Free text

Release 3 — day 7, dose 1

2021-02-01

Systemic reaction (other): In the beginning the injection sight had a small lump and redness. Then there seemed to be a slight rash. Then for a few more days the redness stayed and seemed hot. I had a few lymph nodes removed under my left arm twenty years ago when o had breast cancer. I had more removed under right arm so that is why I get injections on left arm. I dont know if this is why I had reaction. The redness seems to be less now and the lump is gone

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
SROAxillary lymphadenectomy ✓ ✓ ✓
SROBreast cancer ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site mass ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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