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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

  1. 2021-04-11
    Dose 1 — Moderna
  2. 2021-05-08
    Registered in v-safe
  3. 2021-05-08
    Dose 2 — Moderna
  4. 2021-05-08
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  6. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain
    Adult check-in
  7. 2021-05-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Inflammation, Nodule, Swelling, Tenderness — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Diarrhea
    Free 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
  8. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction, Unevaluable event — Feeling: Good · Fever · Chills, Diarrhea, Abdominal pain
    Free text: Collar bone issue is much better but still lightly there.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Bone pain, Bone swelling — Feeling: Good · Diarrhea, Abdominal pain
    Free text: Bump on L collarbone still present & tender.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Bone pain, Bone swelling, Swelling, Tenderness — Feeling: Good · Site: Swelling · Abdominal pain
    Free text: Collar bone site still slightly swollen and tender.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-15
    Survey response — day 7, dose 2
    MedDRA: Swelling — Feeling: Good · Abdominal pain
    Free text: Bump on collar L bone still present.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-08-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-11-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-11Moderna
22021-05-08Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-11

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.

2021-05-12

Systemic reaction (other): Collar bone issue is much better but still lightly there.

2021-05-13

Systemic reaction (other): Bump on L collarbone still present & tender.

2021-05-14

Systemic reaction (other): Collar bone site still slightly swollen and tender.

Release 8 — day 7, dose 2

2021-05-15

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

FieldPreferred term2021-092023-042024-11
SROAdverse reaction · · ✓
SROBone pain ✓ ✓ ✓
SROBone swelling ✓ ✓ ✓
SROInflammation ✓ ✓ ✓
SRONodule ✓ ✓ ✓
SROSwelling ✓ ✓ ✓
SROTenderness ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ○

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