YZX-69594-50784
2 vaccinations
5 coded responses
15 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 837 / ID
- Registered
- 2021-05-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-11
Dose 1 — Moderna
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2021-05-08
Registered in v-safe
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2021-05-08
Dose 2 — Moderna
- 2021-05-08
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Inflammation, Nodule, Swelling, Tenderness — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, DiarrheaFree text: I have noticed a small inflammation/nodule on my left collar bone (same side as I got the shot) which is tender and a bit swollen. I have never experienced this exact thing before so assuming its tied to the vaccine. Its mild unless you touch it, as its tender.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Unevaluable event — Feeling: Good · Fever · Chills, Diarrhea, Abdominal painFree text: Collar bone issue is much better but still lightly there.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — days 1–6 daily, dose 2MedDRA: Bone pain, Bone swelling — Feeling: Good · Diarrhea, Abdominal painFree text: Bump on L collarbone still present & tender.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — days 1–6 daily, dose 2MedDRA: Bone pain, Bone swelling, Swelling, Tenderness — Feeling: Good · Site: Swelling · Abdominal painFree text: Collar bone site still slightly swollen and tender.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Survey response — day 7, dose 2MedDRA: Swelling — Feeling: Good · Abdominal painFree text: Bump on collar L bone still present.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-23
- 2021-05-29
- 2021-06-05
- 2021-06-12
- 2021-06-19
- 2021-08-08
- 2021-11-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-11 | Moderna | |
| 2 | 2021-05-08 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I have noticed a small inflammation/nodule on my left collar bone (same side as I got the shot) which is tender and a bit swollen. I have never experienced this exact thing before so assuming its tied to the vaccine. Its mild unless you touch it, as its tender.
Systemic reaction (other): Collar bone issue is much better but still lightly there.
Systemic reaction (other): Bump on L collarbone still present & tender.
Systemic reaction (other): Collar bone site still slightly swollen and tender.
Release 8 — day 7, dose 2
Systemic reaction (other): Bump on collar L bone still present.
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Bone pain | ✓ | ✓ | ✓ |
| SRO | Bone swelling | ✓ | ✓ | ✓ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
| SRO | Nodule | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release