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ZAA-13701-06043

2 vaccinations 17 coded responses 25 check-ins 17 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
038 / NH
Registered
2021-01-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-02
    Registered in v-safe
  2. 2021-01-02
    Dose 1 — Moderna
  3. 2021-01-02
    Survey response — day 0, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Reactive axillary lymph node
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Flushing, Immediate post-injection reaction, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Forgot to report facial flushing for 10 minutes 30 minutes after receiving vaccine yesterday. I also have an achy enlarged axillary lymph node under right armpit. Less achy than last night.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Free text: I have autoimmune disease and fibromyalgia. These symptoms are a typical immune response for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Condition aggravated, Myalgia, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches
    Free text: I have Sjögren's syndrome and fibromyalgia so this is a normal immune response for me after a vaccine. Small flare up of joint and muscle pain, still mild.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Joint pains, Muscle or body aches
    Adult check-in
  8. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Biopsy lymph gland, Lymphadenopathy — Feeling: Good
    Free text: Reactive axillary lymph node
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-09
    Survey response — day 7, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Reactive axillary lymph node
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-16
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Fibromyalgia, Headache, Myalgia, Pre-existing disease, Sjogren's syndrome — Feeling: Fair
    Free text: Muscle and joint pain as well as headache. However it could be my fibromyalgia and Sjögrens syndrome. I had been feeling good up until last night.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-30
    Dose 2 — Moderna
  13. 2021-01-30
    Survey response — day 0, dose 2
    MedDRA: Feeling jittery, Malaise, Nervousness — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Free text: Shaky, jittery, all over feeling of unwell
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Free text: Swollen axillary lymph node
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Swollen achy axillary lymph node
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Reactive axillary lymph node
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches
    Free text: Reactive axillary lymph node
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Reactive lymph nodes, cervical and axillary
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Reactive cervical and axillary lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-06
    Survey response — day 7, dose 2
    MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Reactive axillary and cervical lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-27
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-03-06
    Survey response — day 35, dose 2
    MedDRA: Arthritis, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: On a Medrol dose pack due to post vaccine arthritis flare up.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-03-06
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-03-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-17
  30. 2022-01-30
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Diverticulitis — Feeling: Good · Be unable to work or attend school
    Free text: Diverticulitis, and COVID 19
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-01-30Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-03-06 Unsuccessful

Free text

Release 1 — day 0, dose 1

2021-01-02

Systemic reaction (other): Reactive axillary lymph node

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Forgot to report facial flushing for 10 minutes 30 minutes after receiving vaccine yesterday. I also have an achy enlarged axillary lymph node under right armpit. Less achy than last night.

2021-01-04

Systemic reaction (other): I have autoimmune disease and fibromyalgia. These symptoms are a typical immune response for me.

2021-01-06

Systemic reaction (other): I have Sjögren's syndrome and fibromyalgia so this is a normal immune response for me after a vaccine. Small flare up of joint and muscle pain, still mild.

2021-01-08

Systemic reaction (other): Reactive axillary lymph node

Release 1 — day 7, dose 1

2021-01-09

Systemic reaction (other): Reactive axillary lymph node

Release 2 — day 14, dose 1

2021-01-16

Symptoms: Muscle and joint pain as well as headache. However it could be my fibromyalgia and Sjögrens syndrome. I had been feeling good up until last night.

Release 3 — day 0, dose 2

2021-01-30

Systemic reaction (other): Shaky, jittery, all over feeling of unwell

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Swollen axillary lymph node

2021-02-01

Systemic reaction (other): Swollen achy axillary lymph node

2021-02-02

Systemic reaction (other): Reactive axillary lymph node

2021-02-03

Systemic reaction (other): Reactive axillary lymph node

2021-02-04

Systemic reaction (other): Reactive lymph nodes, cervical and axillary

2021-02-05

Systemic reaction (other): Reactive cervical and axillary lymph nodes

Release 3 — day 7, dose 2

2021-02-06

Systemic reaction (other): Reactive axillary and cervical lymph nodes

Release 5 — day 35, dose 2

2021-03-06

Symptoms: On a Medrol dose pack due to post vaccine arthritis flare up.

Release 11 — 12 months, dose 2

2022-01-30

Symptoms: Diverticulitis, and COVID 19

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
SDArthralgia ✓ ✓ ✓
SDArthritis ✓ ✓ ✓
SDCOVID-19 · · ✓
SDDiverticulitis · · ✓
SDFibromyalgia ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSjogren's syndrome ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROBiopsy lymph gland ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROFeeling jittery ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONervousness ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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

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