Z88-82274-79794
5 vaccinations
13 coded responses
66 check-ins
13 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 953 / CA
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
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2021-02-17
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site induration, Injection site nodule, Injection site pruritus — Feeling: GoodFree text: I had bad itching of Covid vaccine arm, large red circle and raised bump where got the shot for about 3 days - started night of day 7 and then 3 more days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
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2021-03-03
Dose 2 — Moderna
- 2021-03-03
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-07
Survey response — day 35, dose 2MedDRA: Axillary mass, Axillary pain — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Lump in armpit of arm which had 2nd Moderna vaccine. Bothersome and somewhat hurt. · Healthcare visit (other): I am going to make appt to get the lump in armpit checked in a couple weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-14
- 2021-06-02
- 2021-09-01
-
2021-11-13
Dose 3 — Moderna
- 2021-11-13
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2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Lymph node under arm sore maybe swollenMedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Soreness under armMedDRA releases: 2024-11 · check-in free text available
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2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Good · Site: Swelling, Itching · Fatigue or tirednessFree text: Underarm soreness maybe a bit of swellingMedDRA releases: 2024-11 · check-in free text available
-
2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort — Feeling: Good · Site: Swelling, ItchingFree text: Underarm still bothers me a littleMedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
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2021-11-19
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Congestion runny nose may or may not be related thoMedDRA releases: 2024-11 · check-in free text available
- 2021-11-20
- 2021-11-28
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-02-09
- 2022-02-12
- 2022-02-15
-
2022-03-31
Dose 4 — Moderna
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2022-04-01
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Underarm very soreMedDRA releases: 2024-11 · check-in free text available
-
2022-04-02
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain, Ear discomfort — Feeling: Good · Fatigue or tirednessFree text: Under arm soreness; forgot to mention yesterday that my ears were plugged up after vaccine for several hoursMedDRA releases: 2024-11 · check-in free text available
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2022-04-03
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain — Feeling: GoodFree text: Underarm soreMedDRA releases: 2024-11 · check-in free text available
- 2022-04-04
- 2022-04-05
- 2022-04-07
- 2022-04-14
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-06-30
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2022-09-14
Dose 5 — Moderna
- 2022-09-14
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2022-09-15
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-16
Survey response — days 1–6 daily, dose 5MedDRA: Axillary mass — Feeling: GoodFree text: Lump under arm lymph node I think (not there before shot) was there yesterday tooMedDRA releases: 2024-11 · check-in free text available
-
2022-09-17
Survey response — days 1–6 daily, dose 5MedDRA: Lymphadenopathy — Feeling: GoodFree text: Lump under arm of shot (lymph node)MedDRA releases: 2024-11 · check-in free text available
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2022-09-18
Survey response — days 1–6 daily, dose 5MedDRA: Axillary pain — Feeling: GoodFree text: Still sore underarm of shotMedDRA releases: 2024-11 · check-in free text available
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-12-14
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-03-31 | Moderna | No |
| 5 | 2022-09-14 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-07 | Unsuccessful |
Free text
Release 4 — day 14, dose 1
Symptoms: I had bad itching of Covid vaccine arm, large red circle and raised bump where got the shot for about 3 days - started night of day 7 and then 3 more days.
Release 7 — day 35, dose 2
Symptoms: Lump in armpit of arm which had 2nd Moderna vaccine. Bothersome and somewhat hurt.
Healthcare visit (other): I am going to make appt to get the lump in armpit checked in a couple weeks.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lymph node under arm sore maybe swollen
Systemic reaction (other): Soreness under arm
Systemic reaction (other): Underarm soreness maybe a bit of swelling
Systemic reaction (other): Underarm still bothers me a little
Systemic reaction (other): Congestion runny nose may or may not be related tho
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Underarm very sore
Systemic reaction (other): Under arm soreness; forgot to mention yesterday that my ears were plugged up after vaccine for several hours
Systemic reaction (other): Underarm sore
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Lump under arm lymph node I think (not there before shot) was there yesterday too
Systemic reaction (other): Lump under arm of shot (lymph node)
Systemic reaction (other): Still sore underarm of shot
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 |
|---|---|---|---|---|
| HCVO | Axillary mass | ✓ | ✓ | ✓ |
| SD | Axillary mass | ✓ | ✓ | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site induration | ✓ | ✓ | ✓ |
| SD | Injection site nodule | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Axillary mass | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Ear discomfort | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release