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
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
-
2021-03-17
Survey response — day 0, dose 1MedDRA: Arthralgia, Arthritis, Immediate post-injection reaction, Pain, Paraesthesia, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Abdominal painFree 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
- 2021-03-19
- 2021-03-20
- 2021-03-22
- 2021-03-23
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2021-03-24
Health check-in — day 7, dose 1Feeling: Good · Nausea, Abdominal pain · Be unable to workAdult check-in
- 2021-03-31
- 2021-04-08
- 2021-04-14
-
2021-04-20
Dose 2 — Moderna
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Lymph node under rt arm swollen and soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lymph nodes under rt arm swollen and soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Fatigue or tiredness · Be unable to workFree 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
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fatigue or tiredness · Be unable to workFree text: Lymph nodes under rt (shot) arm swollen and sore but no difference from yesterday. Head conversation todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Be unable to workFree text: Lymph nodes under rt arm (on the shot side) are still sore and swollen. Less than the first two days but still noticableMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Good · Fatigue or tiredness · Be unable to workFree text: Lymph node still larger than normal and soreness noticeableMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-07-20
- 2021-10-19
- 2022-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Free text
Release 5 — day 0, dose 1
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
Systemic reaction (other): Lymph node under rt arm swollen and sore
Systemic reaction (other): Lymph nodes under rt arm swollen and sore
Systemic reaction (other): Lymph nodes under arm on shot side (rt) are still sore, but less swelling than yesterday.
Systemic reaction (other): Lymph nodes under rt (shot) arm swollen and sore but no difference from yesterday. Head conversation today
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release