28J-18762-62834
3 vaccinations
3 coded responses
25 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 363 / AL
- Registered
- 2021-05-01
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Dose 1 — Moderna
-
2021-05-01
Registered in v-safe
-
2021-05-01
Dose 2 — Moderna
-
2021-05-01
Survey response — day 0, dose 2MedDRA: Oropharyngeal discomfort — Feeling: GoodFree text: Throat has some discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Headache, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-09
-
2021-05-16
Survey response — day 14, dose 2MedDRA: Discharge, Laryngitis, Sinusitis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have what I believe is a sinus infection, and instead of getting better I feel worse. I still have a lot of yellow drainage and now laryngitis. Im on steroids for five days and augmenting for 3 days now. I should be better but Im not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-16
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-12
- 2021-07-31
-
2021-10-30
Survey response — 6 months, dose 2MedDRA: Gait disturbance, Hypotension, Peripheral swelling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My Blood Pressure drops low, to where I can feel it. For example a few weeks ago it was 90/60. It's been doing this since I took the vaccine. I also for the last two weeks have swelling in my foot, with no cause. I can barely walk.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Report sent to call center — 6 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-02
Call successfulParticipant prefers to complete VAERS report online
-
2021-11-13
Dose 3 — Moderna
- 2021-11-19
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-02-12
- 2022-05-14
- 2022-11-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-05-01 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): Throat has some discomfort
Release 8 — day 14, dose 2
Symptoms: I have what I believe is a sinus infection, and instead of getting better I feel worse. I still have a lot of yellow drainage and now laryngitis. Im on steroids for five days and augmenting for 3 days now. I should be better but Im not.
Release 10 — 6 months, dose 2
Symptoms: My Blood Pressure drops low, to where I can feel it. For example a few weeks ago it was 90/60. It's been doing this since I took the vaccine. I also for the last two weeks have swelling in my foot, with no cause. I can barely walk.
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 | Discharge | ✓ | ✓ | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Hypotension | · | · | ✓ |
| SD | Laryngitis | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release