ZZM-10136-52784
2 vaccinations
5 coded responses
13 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 030 / NH
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Dose 1 — Moderna
-
2021-03-20
Dose 2 — Moderna
-
2021-03-22
Registered in v-safe
-
2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tirednessFree text: Lymph node Pain in my armpit on injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymph node pain — Feeling: Good · Site: Pain, Redness, Itching · Headache, Fatigue or tirednessFree text: Still armpit pain in lymph nodes on injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: GoodFree text: Just the lymph node in my arm pit, not as painful nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
-
2021-06-19
Survey response — 3 months, dose 2MedDRA: Breast cancer, Breast cyst, Lymph node pain — Feeling: FairFree text: Last week was Diagnosed with small breast cancer on my right breast and also a cyst on my left. I had a very painful lymph node in my left arm pit area that lasted 4 days after 2nd shot They cyst on my left breast was diagnosed last week alsoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-18
Survey response — 6 months, dose 2MedDRA: Breast cancer, Breast conserving surgery, Chemotherapy, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Breast cancer, stage 1, lumpectomy in late July, now chemo. Good outcome expected · Healthcare visit (other): In office Dr appts, day surgery infusion clinicMedDRA releases: 2024-11 · check-in free text available
-
2021-09-18
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-20 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph node Pain in my armpit on injection arm
Systemic reaction (other): Still armpit pain in lymph nodes on injection arm
Systemic reaction (other): Just the lymph node in my arm pit, not as painful now
Release 9 — 3 months, dose 2
Symptoms: Last week was Diagnosed with small breast cancer on my right breast and also a cyst on my left. I had a very painful lymph node in my left arm pit area that lasted 4 days after 2nd shot They cyst on my left breast was diagnosed last week also
Release 9 — 6 months, dose 2
Symptoms: Breast cancer, stage 1, lumpectomy in late July, now chemo. Good outcome expected
Healthcare visit (other): In office Dr appts, day surgery infusion clinic
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 | Office visit | · | · | ✓ |
| SD | Breast cancer | ✓ | ✓ | ✓ |
| SD | Breast conserving surgery | · | · | ✓ |
| SD | Breast cyst | ✓ | ✓ | ✓ |
| SD | Chemotherapy | · | · | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release