ZWR-30053-72464
3 vaccinations
7 coded responses
23 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 980 / WA
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Dose 1 — Moderna
-
2021-04-15
Registered in v-safe
-
2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-16
- 2021-04-17
-
2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Kidney infection — Feeling: Fair · Fatigue or tirednessFree text: Unrelated to vaccine I have a kidney infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
-
2021-05-12
Dose 2 — Moderna
- 2021-05-12
-
2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-15
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · HeadacheFree text: Swollen lymph node at collar bone on same side as injection was administered - moderately painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-16
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · HeadacheFree text: Swollen lymph nodes at collar bone continue to be significantly enlargedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · HeadacheFree text: Severely swollen lymph nodes at collar boneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort, Lymphadenopathy — Feeling: Good · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Swollen lymph nodes at collar bone - visible swelling · Healthcare visit (other): Review area of swelling (lymph nodes) as there has been no improvement and it is uncomfortable. To follow up in 2 weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-19
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: Good · HeadacheFree text: Swollen lymph nodes at collar boneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-06-23
- 2021-08-11
-
2021-11-01
Dose 3 — Moderna
-
2021-11-11
Survey response — 6 months, dose 2MedDRA: Body temperature increased — Feeling: Good · Be unable to work or attend schoolFree text: Low (100 degrees) fever beginning about 4-5 hours after the booster injection, lasting 24 hoursMedDRA releases: 2024-11 · check-in free text available
-
2022-05-11
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Moderna | |
| 2 | 2021-05-12 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Unrelated to vaccine I have a kidney infection
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph node at collar bone on same side as injection was administered - moderately painful
Systemic reaction (other): Swollen lymph nodes at collar bone continue to be significantly enlarged
Systemic reaction (other): Severely swollen lymph nodes at collar bone
Systemic reaction (other): Swollen lymph nodes at collar bone - visible swelling
Healthcare visit (other): Review area of swelling (lymph nodes) as there has been no improvement and it is uncomfortable. To follow up in 2 weeks
Release 8 — day 7, dose 2
Systemic reaction (other): Swollen lymph nodes at collar bone
Release 10 — 6 months, dose 2
Symptoms: Low (100 degrees) fever beginning about 4-5 hours after the booster injection, lasting 24 hours
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 | Discomfort | ✓ | ✓ | ✓ |
| HCVO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SRO | Kidney infection | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release