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
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2021-03-02
Dose 1 — Moderna
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2021-03-29
Dose 2 — Moderna
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2021-04-02
Registered in v-safe
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Lymphadenopathy, Pain in extremity, Tenderness — Feeling: Fair · Site: Pain · HeadacheFree 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 tenderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph nodes my collar bone areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
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2021-04-12
Survey response — day 14, dose 2MedDRA: Pain in extremity — Feeling: GoodFree 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
- 2021-04-22
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2021-04-28
Survey response — day 28, dose 2MedDRA: Discomfort, Lymphadenopathy — Feeling: GoodFree 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
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2021-05-03
Survey response — day 35, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: My lymph node is swollen again, mild discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-06-28
- 2021-09-28
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2022-03-31
Survey response — 12 months, dose 2MedDRA: Hypersensitivity, Stomatitis, Tongue ulceration — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree 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
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2022-03-31
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-29 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-31 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 2
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
Systemic reaction (other): Swollen lymph nodes my collar bone area
Release 7 — day 14, dose 2
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
Symptoms: My lymph node is swollen again and this time causing discomfort.
Release 8 — day 35, dose 2
Symptoms: My lymph node is swollen again, mild discomfort
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Discomfort | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Stomatitis | · | · | ✓ |
| SD | Tongue ulceration | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release