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ZB4-16451-63797

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
781 / TX
Registered
2021-03-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-17
    Registered in v-safe
  2. 2021-03-17
    Dose 1 — Moderna
  3. 2021-03-17
    Survey response — day 0, dose 1
    MedDRA: Arthralgia, Arthritis, Immediate post-injection reaction, Pain, Paraesthesia, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Abdominal pain
    Free text: Left shoulder and clavicle probable arthritis and got the shot in that arm. 5 min after the shot my left shoulder and clavicle began aching. Then tingling down both arms and into hands.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-24
    Health check-in — day 7, dose 1
    Feeling: Good · Nausea, Abdominal pain · Be unable to work
    Adult check-in
  9. 2021-03-31
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-14
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-20
    Dose 2 — Moderna
  13. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lymph node under rt arm swollen and sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lymph nodes under rt arm swollen and sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Fatigue or tiredness · Be unable to work
    Free text: Lymph nodes under arm on shot side (rt) are still sore, but less swelling than yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fatigue or tiredness · Be unable to work
    Free text: Lymph nodes under rt (shot) arm swollen and sore but no difference from yesterday. Head conversation today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Be unable to work
    Free text: Lymph nodes under rt arm (on the shot side) are still sore and swollen. Less than the first two days but still noticable
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain — Feeling: Good · Fatigue or tiredness · Be unable to work
    Free text: Lymph node still larger than normal and soreness noticeable
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-19
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2022-04-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

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

Free text

Release 5 — day 0, dose 1

2021-03-17

Systemic reaction (other): Left shoulder and clavicle probable arthritis and got the shot in that arm. 5 min after the shot my left shoulder and clavicle began aching. Then tingling down both arms and into hands.

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Lymph node under rt arm swollen and sore

2021-04-22

Systemic reaction (other): Lymph nodes under rt arm swollen and sore

2021-04-23

Systemic reaction (other): Lymph nodes under arm on shot side (rt) are still sore, but less swelling than yesterday.

2021-04-24

Systemic reaction (other): Lymph nodes under rt (shot) arm swollen and sore but no difference from yesterday. Head conversation today

2021-04-25

Systemic reaction (other): Lymph nodes under rt arm (on the shot side) are still sore and swollen. Less than the first two days but still noticable

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Lymph node still larger than normal and soreness noticeable

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
SROArthralgia ✓ ✓ ✓
SROArthritis ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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