Z4C-80514-20306
2 vaccinations
10 coded responses
16 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 088 / NJ
- Registered
- 2021-05-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-05-15
Dose 1 — Moderna
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2021-05-17
Registered in v-safe
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2021-05-17
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy, Mobility decreased — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: My underarm glands and left breast are still swollen. I cant lift my arm straight up. It feels like Im being stabbed in my gland under my armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Be unable to workFree text: Still swollen in my lymph nodes under my arms and my left breastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Survey response — days 1–6 daily, dose 1MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I am still swollen under my arm amd left breastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Joint pains, Fatigue or tirednessFree text: Left underarm gland is still swollen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Soar under my left arm, lymph nodes swollen and tenderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: Still swollen under my left arm-lymph node towards my left breastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-29
- 2021-06-05
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2021-06-12
Dose 2 — Moderna
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2021-06-12
Survey response — day 0, dose 2MedDRA: Feeling of body temperature change — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend schoolFree text: I was getting really hot,then coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-06-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-06-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains · Be unable to work or attend schoolAdult check-in
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2021-06-19
Survey response — day 7, dose 2MedDRA: Myalgia, Vaccine positive rechallenge — Feeling: Good · Site: Pain · Muscle or body achesFree text: Lower right leg aches. This started with the first vaccine, I didnt think it was related until the 2nd dose and it started to feel achey. Its my calf muscle towards my ankle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-26
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2021-07-10
Survey response — day 28, dose 2MedDRA: Cough — Feeling: GoodFree text: A coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-12-11
Survey response — 6 months, dose 2MedDRA: Cough — Feeling: GoodFree text: A dry cough that has not gone away since y vaccine.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-15 | Moderna | |
| 2 | 2021-06-12 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): My underarm glands and left breast are still swollen. I cant lift my arm straight up. It feels like Im being stabbed in my gland under my arm
Systemic reaction (other): Still swollen in my lymph nodes under my arms and my left breast
Systemic reaction (other): I am still swollen under my arm amd left breast
Systemic reaction (other): Left underarm gland is still swollen.
Systemic reaction (other): Soar under my left arm, lymph nodes swollen and tender
Release 8 — day 7, dose 1
Systemic reaction (other): Still swollen under my left arm-lymph node towards my left breast
Release 9 — day 0, dose 2
Systemic reaction (other): I was getting really hot,then cold
Release 9 — day 7, dose 2
Systemic reaction (other): Lower right leg aches. This started with the first vaccine, I didnt think it was related until the 2nd dose and it started to feel achey. Its my calf muscle towards my ankle.
Release 9 — day 28, dose 2
Symptoms: A cough
Release 10 — 6 months, dose 2
Symptoms: A dry cough that has not gone away since y vaccine.
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 | Cough | ✓ | ✓ | ✓ |
| SRO | Feeling of body temperature change | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release