Z6P-45748-28520
4 vaccinations
7 coded responses
31 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 972 / OR
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
5EQ-27364-36629
Child or adolescent in my care · Male · 2022-07-09
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2021-01-02
Registered in v-safe
-
2021-01-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-02
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · HeadacheAdult check-in
-
2021-01-05
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-05
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-20
-
2021-01-25
Dose 2 — Moderna
- 2021-01-25
-
2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness · Fatigue or tirednessFree text: Lymph node swelling and tenderness in neck and axillae near injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Lymph node swelling and tenderness in neck and axillae on same side as injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, RednessFree text: Swollen lymph nodes in neck and axillae on same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness · Fatigue or tirednessFree text: lymph node swelling in neck on same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Survey response — day 7, dose 2MedDRA: Lymphadenitis, Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Lymph node swelling and tenderness in neck and axillae on the same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-04-28
- 2021-07-26
-
2021-12-21
Dose 3 — Moderna
-
2022-09-15
Dose 4 — Pfizer-BioNTech
-
2022-09-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-09-17
-
2022-09-18
Survey response — days 1–6 daily, dose 4MedDRA: Chest discomfort, Chest pain — Feeling: Good · Site: PainFree text: chest pain that felt like someone reached in my chest and squeezed my heart.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-29
- 2022-10-07
- 2022-10-13
- 2022-10-20
- 2022-10-29
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2022-12-15
Survey response — 3 months, dose 4MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Congestion, cough, runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-12-15
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-25 | Moderna | |
| 3 | 2021-12-21 | Moderna | No |
| 4 | 2022-09-15 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-02 | priority 2/3 | |
| 2021-01-05 | priority 2/3 | |
| 2022-12-15 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph node swelling and tenderness in neck and axillae near injection site
Systemic reaction (other): Lymph node swelling and tenderness in neck and axillae on same side as injection.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes in neck and axillae on same side as injection
Systemic reaction (other): lymph node swelling in neck on same side as injection
Release 3 — day 7, dose 2
Systemic reaction (other): Lymph node swelling and tenderness in neck and axillae on the same side as injection
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): chest pain that felt like someone reached in my chest and squeezed my heart.
Release 12 — 3 months, dose 4
Symptoms: Congestion, cough, runny nose
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 | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenitis | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release