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
-
2021-03-13
Dose 1 — Moderna
-
2021-04-10
Registered in v-safe
-
2021-04-10
Dose 2 — Moderna
- 2021-04-10
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — 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: FeverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-13
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-04-15
- 2021-04-17
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2021-04-26
Survey response — day 14, dose 2MedDRA: Vaccination site erythema, Vaccination site rash — Feeling: GoodFree 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
- 2021-05-02
- 2021-05-08
- 2021-05-15
- 2021-05-22
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2021-07-10
Survey response — 3 months, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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
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2021-07-10
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-19
Call successfulOther
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2021-10-11
Survey response — 6 months, dose 2MedDRA: 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 visitFree text: Symptoms: Swollen arm pit. Checked with ultrasound. PC described it as full not swollen. However, the fullness persists weeks later. · Healthcare visit (other): UltrasoundMedDRA releases: 2024-11 · check-in free text available
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2021-10-11
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-14
- 2022-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-10 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-10 | Successful 2021-07-19 |
Other |
| 2021-10-11 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Fever
Release 7 — day 14, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Ultrasound scan abnormal | · | · | ✓ |
| SD | Vaccination site erythema | ✓ | ✓ | ✓ |
| SD | Vaccination site rash | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release