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ZNM-18965-29366

2 vaccinations 4 coded responses 15 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
013 / MA
Registered
2021-04-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-13
    Dose 1 — Moderna
  2. 2021-04-10
    Registered in v-safe
  3. 2021-04-10
    Dose 2 — Moderna
  4. 2021-04-10
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — 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: Fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  8. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  9. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  10. 2021-04-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-26
    Survey response — day 14, dose 2
    MedDRA: Vaccination site erythema, Vaccination site rash — Feeling: Good
    Free text: A bit of a rash on my upper arm near the vaccination site. Just red. No breaks in the skin or itching. If I didnt see it, I wouldnt know it was there.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-10
    Survey response — 3 months, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Lymph nodes in arm pit are swollen. Same arm that I had my second shot and had a reaction. I have an appt with my Primary Care provider on Monday to check it out.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-07-10
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-07-19
  19. 2021-10-11
    Survey response — 6 months, dose 2
    MedDRA: Oedema peripheral, Office visit, Ultrasound scan abnormal, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Swollen arm pit. Checked with ultrasound. PC described it as full not swollen. However, the fullness persists weeks later. · Healthcare visit (other): Ultrasound
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-10-11
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  21. 2021-10-14
  22. 2022-04-10
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Moderna
22021-04-10Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-07-10 Successful
2021-07-19
Other
2021-10-11 Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Fever

Release 7 — day 14, dose 2

2021-04-26

Symptoms: A bit of a rash on my upper arm near the vaccination site. Just red. No breaks in the skin or itching. If I didnt see it, I wouldnt know it was there.

Release 9 — 3 months, dose 2

2021-07-10

Symptoms: Lymph nodes in arm pit are swollen. Same arm that I had my second shot and had a reaction. I have an appt with my Primary Care provider on Monday to check it out.

Release 10 — 6 months, dose 2

2021-10-11

Symptoms: Swollen arm pit. Checked with ultrasound. PC described it as full not swollen. However, the fullness persists weeks later.
Healthcare visit (other): Ultrasound

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
HCVOUnevaluable event · · ✓
SDLymphadenopathy ✓ ✓ ✓
SDOedema peripheral · · ✓
SDOffice visit · · ✓
SDUltrasound scan abnormal · · ✓
SDVaccination site erythema ✓ ✓ ✓
SDVaccination site rash ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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