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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

  1. 2021-03-20
    Dose 1 — Moderna
  2. 2021-04-17
    Dose 2 — Moderna
  3. 2021-04-18
    Registered in v-safe
  4. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free 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
  5. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node near collarbone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node near collarbone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-24
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node near collarbone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-10
    Survey response — day 21, dose 2
    MedDRA: 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 visit
    Free 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
  12. 2021-05-10
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-05-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-29
    Survey response — day 42, dose 2
    MedDRA: Lymphadenopathy, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor
    Free 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
  15. 2021-07-19
    Survey response — 3 months, dose 2
    MedDRA: Lymphadenopathy, Office visit — Feeling: Good
    Free 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
  16. 2022-04-16

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Moderna
22021-04-17Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-10 Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): I have a swollen lymph node near the collarbone on the side of my body where I received the injection.

2021-04-22

Systemic reaction (other): Swollen lymph node near collarbone

2021-04-23

Systemic reaction (other): Swollen lymph node near collarbone

Release 7 — day 7, dose 2

2021-04-24

Systemic reaction (other): Swollen lymph node near collarbone

Release 8 — day 21, dose 2

2021-05-10

Symptoms: Persistent abdominal pain in the upper stomach area. Getting tests done to see if its an ulcer.

Release 8 — day 42, dose 2

2021-05-29

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

2021-07-19

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDOffice visit · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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