Z45-22267-03700
2 vaccinations
7 coded responses
11 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 846 / UT
- Registered
- 2021-04-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-20
Dose 1 — Moderna
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2021-04-17
Dose 2 — Moderna
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2021-04-18
Registered in v-safe
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I have a swollen lymph node near the collarbone on the side of my body where I received the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node near collarboneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node near collarboneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node near collarboneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
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2021-05-10
Survey response — day 21, dose 2MedDRA: Abdominal pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Persistent abdominal pain in the upper stomach area. Getting tests done to see if its an ulcer.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-22
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2021-05-29
Survey response — day 42, dose 2MedDRA: Lymphadenopathy, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: PoorFree text: Sore throat and congestion. I think its simply a head cold, but thought it worth mentioning. I also still have a swollen lymph node near my collarbone. This happened after my second shot and continues to persist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-19
Survey response — 3 months, dose 2MedDRA: Lymphadenopathy, Office visit — Feeling: GoodFree text: I still have swollen lymph nodes that appeared shortly after my first dose. I think Ill get them looked at by a doctor soon as they havent gone away yet.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-10 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I have a swollen lymph node near the collarbone on the side of my body where I received the injection.
Systemic reaction (other): Swollen lymph node near collarbone
Systemic reaction (other): Swollen lymph node near collarbone
Release 7 — day 7, dose 2
Systemic reaction (other): Swollen lymph node near collarbone
Release 8 — day 21, dose 2
Symptoms: Persistent abdominal pain in the upper stomach area. Getting tests done to see if its an ulcer.
Release 8 — day 42, dose 2
Symptoms: Sore throat and congestion. I think its simply a head cold, but thought it worth mentioning. I also still have a swollen lymph node near my collarbone. This happened after my second shot and continues to persist.
Release 9 — 3 months, dose 2
Symptoms: I still have swollen lymph nodes that appeared shortly after my first dose. I think Ill get them looked at by a doctor soon as they havent gone away yet.
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 |
|---|---|---|---|---|
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release