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ZLH-15442-19874

2 vaccinations 6 coded responses 12 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
784 / TX
Registered
2021-04-02
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-02
    Dose 1 — Moderna
  2. 2021-03-29
    Dose 2 — Moderna
  3. 2021-04-02
    Registered in v-safe
  4. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Lymphadenopathy, Pain in extremity, Tenderness — Feeling: Fair · Site: Pain · Headache
    Free text: Mid back pain on shot side and arm is still very sore. Lymph nodes under arm and neck area still swollen and a little tender
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen lymph nodes my collar bone area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  7. 2021-04-05
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  8. 2021-04-12
    Survey response — day 14, dose 2
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Yesterday I felt leg pain all day. It was all my leg and my bones, had not experience that before the vaccine. I just took some aleve for some relief. Today I didnt have any leg pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-04-28
    Survey response — day 28, dose 2
    MedDRA: Discomfort, Lymphadenopathy — Feeling: Good
    Free text: My lymph node is swollen again and this time causing discomfort.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-03
    Survey response — day 35, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: My lymph node is swollen again, mild discomfort
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-09-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-03-31
    Survey response — 12 months, dose 2
    MedDRA: Hypersensitivity, Stomatitis, Tongue ulceration — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I had an allergic reaction in the middle of the night. Had not eaten anything since about 7pm that night. Also have developed sores in my mouth and tongue.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-03-31
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  17. 2022-04-04

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-29Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-03-31 Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Mid back pain on shot side and arm is still very sore. Lymph nodes under arm and neck area still swollen and a little tender

2021-04-03

Systemic reaction (other): Swollen lymph nodes my collar bone area

Release 7 — day 14, dose 2

2021-04-12

Symptoms: Yesterday I felt leg pain all day. It was all my leg and my bones, had not experience that before the vaccine. I just took some aleve for some relief. Today I didnt have any leg pain.

Release 8 — day 28, dose 2

2021-04-28

Symptoms: My lymph node is swollen again and this time causing discomfort.

Release 8 — day 35, dose 2

2021-05-03

Symptoms: My lymph node is swollen again, mild discomfort

Release 11 — 12 months, dose 2

2022-03-31

Symptoms: I had an allergic reaction in the middle of the night. Had not eaten anything since about 7pm that night. Also have developed sores in my mouth and tongue.

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
SDDiscomfort ✓ ✓ ✓
SDHypersensitivity · · ✓
SDLymph node pain ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDStomatitis · · ✓
SDTongue ulceration · · ✓
SROBack pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

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