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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

  1. 2021-01-19
    Dose 1 — Moderna
  2. 2021-02-20
    Dose 2 — Moderna
  3. 2021-02-27
    Registered in v-safe
  4. 2021-02-27
    Survey response — day 7, dose 2
    MedDRA: Oedema peripheral — Feeling: Good
    Free text: Under arm swelling for 8 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-06
    Survey response — day 14, dose 2
    MedDRA: Axillary mass — Feeling: Good
    Free 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
  6. 2021-03-13
    Survey response — day 21, dose 2
    MedDRA: Headache, Self-medication — Feeling: Poor · Be unable to do your normal daily activities
    Free 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
  7. 2021-03-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-03-27
    Survey response — day 35, dose 2
    MedDRA: Lymphadenopathy, Oedema peripheral, Ultrasound scan abnormal — Feeling: Good
    Free 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
  9. 2021-04-04
    Survey response — day 42, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: Headaches that are pretty intense occasionally.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-08-22
    Survey response — 6 months, dose 2
    MedDRA: Muscle injury — Feeling: Good
    Free text: Unusual muscle injury over minor movements.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2022-02-20
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free text: I have Covid and have also had both Moderna vaccines. Intense symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-02-20
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  14. 2022-02-21
  15. 2022-02-21
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-02-20Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 7, dose 2

2021-02-27

Systemic reaction (other): Under arm swelling for 8 days

Release 5 — day 14, dose 2

2021-03-06

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

2021-03-13

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

2021-03-27

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

2021-04-04

Symptoms: Headaches that are pretty intense occasionally.

Release 9 — 6 months, dose 2

2021-08-22

Symptoms: Unusual muscle injury over minor movements.

Release 11 — 12 months, dose 2

2022-02-20

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

FieldPreferred term2021-092023-042024-11
SDAxillary mass ✓ ✓ ✓
SDCOVID-19 · · ✓
SDHeadache ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDMuscle injury ✓ · ✓
SDOedema peripheral ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDUltrasound scan abnormal ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓

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