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ZWD-22058-47511

2 vaccinations 11 coded responses 24 check-ins 11 free-text entries 3 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
920 / CA
Registered
2021-01-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Registered in v-safe
  2. 2021-01-11
    Dose 1 — Moderna
  3. 2021-01-11
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  4. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · Headache, Joint pains
    Adult check-in
  5. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  6. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-01-14
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  8. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  9. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Vertigo — Feeling: Good
    Free text: Vertigo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None · Be unable to work
    Adult check-in
  11. 2021-01-17
  12. 2021-01-18
    Survey response — day 7, dose 1
    MedDRA: Axillary pain — Feeling: Good
    Free text: Noticed pain in my arm pit area of my left arm. Maybe be swollen lymph node? Will continue to watch it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-25
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Axillary pain, Injection site erythema, Injection site induration, Joint stiffness, Lymphadenopathy — Feeling: Good
    Free text: Induration and reddened area at injection site (left arm) Swollen axillary lymph node (under arm left arm) continued pain in area. Random joint stiffness and pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-02
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Muscular weakness — Feeling: Fair
    Free text: Fatigue, arm weakness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-08
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  16. 2021-02-15
    Survey response — day 35, dose 1
    MedDRA: Muscular weakness — Feeling: Good
    Free text: bilateral arm muscle weakness. Mornings are worse. Started a couple of weeks ago. Not everyday. Almost feels like the flu. Goes away by itself, no Med needed.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-23
    Dose 2 — Moderna
  18. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  19. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches
    Adult check-in
  20. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  21. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Itching
    Free text: Swollen lymph node under left arm (where I got injection)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  23. 2021-03-04
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching · Fatigue or tiredness
    Free text: Swollen lymph node
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-18
    Survey response — day 21, dose 2
    MedDRA: Chest pain, Pain — Feeling: Good
    Free text: Random pains, sub sternal chest pain (no shortness of breath)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-03-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-01
    Survey response — day 35, dose 2
    MedDRA: Headache — Feeling: Fair
    Free text: Mild headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-05-27
    Survey response — 3 months, dose 2
    MedDRA: Lymph node pain — Feeling: Good
    Free text: Random pains under arms (lymph nodes) bilaterally.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-08-26
    Survey response — 6 months, dose 2
    MedDRA: Lymphadenitis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Continued inflamed lymph node under arm. Since resolved but lasted months after vaccine · Healthcare visit (other): Ultrasound and Mammogram done
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  30. 2021-08-26
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  31. 2021-08-27

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-23Moderna

Call center

3 call center cases

1 unsuccessful · 2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Vertigo

Release 2 — day 7, dose 1

2021-01-18

Systemic reaction (other): Noticed pain in my arm pit area of my left arm. Maybe be swollen lymph node? Will continue to watch it

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Induration and reddened area at injection site (left arm) Swollen axillary lymph node (under arm left arm) continued pain in area. Random joint stiffness and pain

Release 3 — day 21, dose 1

2021-02-02

Symptoms: Fatigue, arm weakness

Release 4 — day 35, dose 1

2021-02-15

Symptoms: bilateral arm muscle weakness. Mornings are worse. Started a couple of weeks ago. Not everyday. Almost feels like the flu. Goes away by itself, no Med needed.

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Swollen lymph node under left arm (where I got injection)

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): Swollen lymph node

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Random pains, sub sternal chest pain (no shortness of breath)

Release 6 — day 35, dose 2

2021-04-01

Symptoms: Mild headache

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Random pains under arms (lymph nodes) bilaterally.

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Continued inflamed lymph node under arm. Since resolved but lasted months after vaccine
Healthcare visit (other): Ultrasound and Mammogram done

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 ✓ · ✓
SDArthralgia ✓ ✓ ✓
SDAxillary pain ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site induration ✓ ✓ ✓
SDJoint stiffness ✓ ✓ ✓
SDLymph node pain ✓ ✓ ✓
SDLymphadenitis ✓ · ✓
SDLymphadenopathy ✓ ✓ ✓
SDMuscular weakness ✓ ✓ ✓
SDPain ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

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