266-18094-25919
2 vaccinations
7 coded responses
9 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 352 / AL
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-19
Dose 1 — Moderna
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2021-02-20
Dose 2 — Moderna
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2021-02-27
Registered in v-safe
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2021-02-27
Survey response — day 7, dose 2MedDRA: Oedema peripheral — Feeling: GoodFree text: Under arm swelling for 8 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — day 14, dose 2MedDRA: Axillary mass — Feeling: GoodFree text: Large soft lump under right armpit - same arm as site of shot. It came a few days after second shot snd us just now starting to dissipate.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — day 21, dose 2MedDRA: Headache, Self-medication — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Severe headache for an entire day. Never happens to me usually. No OTC helped relieve pain in top of head which lasted all day snd into the evening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
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2021-03-27
Survey response — day 35, dose 2MedDRA: Lymphadenopathy, Oedema peripheral, Ultrasound scan abnormal — Feeling: GoodFree text: Not worse but the swelling under arm still there but fading. My doctor did sonargram and saw multiple lymph nodes with minor swelling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — day 42, dose 2MedDRA: Headache — Feeling: GoodFree text: Headaches that are pretty intense occasionally.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
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2021-08-22
Survey response — 6 months, dose 2MedDRA: Muscle injury — Feeling: GoodFree text: Unusual muscle injury over minor movements.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-20
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: I have Covid and have also had both Moderna vaccines. Intense symptoms.MedDRA releases: 2024-11 · check-in free text available
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2022-02-20
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2022-02-21
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2022-02-21
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-20 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — day 7, dose 2
Systemic reaction (other): Under arm swelling for 8 days
Release 5 — day 14, dose 2
Symptoms: Large soft lump under right armpit - same arm as site of shot. It came a few days after second shot snd us just now starting to dissipate.
Release 5 — day 21, dose 2
Symptoms: Severe headache for an entire day. Never happens to me usually. No OTC helped relieve pain in top of head which lasted all day snd into the evening.
Release 6 — day 35, dose 2
Symptoms: Not worse but the swelling under arm still there but fading. My doctor did sonargram and saw multiple lymph nodes with minor swelling.
Release 6 — day 42, dose 2
Symptoms: Headaches that are pretty intense occasionally.
Release 9 — 6 months, dose 2
Symptoms: Unusual muscle injury over minor movements.
Release 11 — 12 months, dose 2
Symptoms: I have Covid and have also had both Moderna vaccines. Intense symptoms.
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 |
|---|---|---|---|---|
| SD | Axillary mass | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Muscle injury | ✓ | · | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Ultrasound scan abnormal | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release