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ZXR-66007-25982

1 vaccination 7 coded responses 8 check-ins 7 free-text entries 4 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
146 / NY
Registered
2021-01-09
Relationship
Self

Timeline

  1. 2021-01-09
    Registered in v-safe
  2. 2021-01-09
    Dose 1 — Moderna
  3. 2021-01-09
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Nausea · Be unable to work
    Adult check-in
  4. 2021-01-09
    Report sent to call center — day 0, dose 1
    Be unable to work
    1 call case(s)
  5. 2021-01-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Axillary Lymph node swelling (on side of injection)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-10
  7. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Moderately swollen and painful axillary lymph nodes on injection arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-11
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  9. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flank pain, Injected limb mobility decreased, Lymph node pain, Lymphadenopathy, Muscular weakness — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Severe axillary lymph node swelling and pain on the side of injextion. Difficult to raise arm or pick things up.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-12
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  11. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Lymphadenopathy — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Axillary lymph node swelling and moderate pain on side of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Erythema, Lymph node pain, Lymphadenopathy — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Mild axillary lymph node swelling and pain. Previous slight redness to the area resolved.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Lymph node pain, Lymphadenopathy — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Mild axillary lymph node swelling, pain in that are has ceased
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-28
    Survey response — day 14, dose 1
    MedDRA: Aura, Headache, Migraine — Feeling: Good
    Free text: Migraine headaches with aura
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Moderna

Call center

4 call center cases

4 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-10

Systemic reaction (other): Axillary Lymph node swelling (on side of injection)

2021-01-11

Systemic reaction (other): Moderately swollen and painful axillary lymph nodes on injection arm

2021-01-12

Systemic reaction (other): Severe axillary lymph node swelling and pain on the side of injextion. Difficult to raise arm or pick things up.

2021-01-13

Systemic reaction (other): Axillary lymph node swelling and moderate pain on side of injection

2021-01-14

Systemic reaction (other): Mild axillary lymph node swelling and pain. Previous slight redness to the area resolved.

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Mild axillary lymph node swelling, pain in that are has ceased

Release 3 — day 14, dose 1

2021-01-28

Symptoms: Migraine headaches with aura

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
SDAura ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROFlank pain ✓ ✓ ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓

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