YDY-11497-24144
2 vaccinations
4 coded responses
14 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 070 / NJ
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Dose 1 — Moderna
-
2021-04-05
Registered in v-safe
- 2021-04-05
- 2021-04-12
- 2021-04-19
-
2021-04-24
Dose 2 — Moderna
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Mass, Oedema peripheral, Pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: My armpit swelled. There is a soft lump on the side where I received the vaccine. And it hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Redness, SwellingFree text: Swelling and pain in armpit on side of injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: SwellingFree text: Slight swelling in armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-03
- 2021-05-08
-
2021-05-15
Survey response — day 21, dose 2MedDRA: Lymph node pain, Lymphadenopathy, Neck pain, Office visit, Pain in jaw — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Found a swollen lymph node near my neck on left side. Slight pain in surrounding area of lump. Also had pain in jaw and neck on left side for 3 days. Went away. Saw Dr. said it could be from vaccine. See her in 2 weeks to reevaluate. · Healthcare visit (other): Doctor visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-15
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-24
- 2021-06-07
- 2022-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-15 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): My armpit swelled. There is a soft lump on the side where I received the vaccine. And it hurts
Systemic reaction (other): Swelling and pain in armpit on side of injection site
Systemic reaction (other): Slight swelling in armpit
Release 8 — day 21, dose 2
Symptoms: Found a swollen lymph node near my neck on left side. Slight pain in surrounding area of lump. Also had pain in jaw and neck on left side for 3 days. Went away. Saw Dr. said it could be from vaccine. See her in 2 weeks to reevaluate.
Healthcare visit (other): Doctor visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Mass | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release