2B2-64145-39289
4 vaccinations
9 coded responses
52 check-ins
8 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 195 / PA
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Registered in v-safe
-
2021-02-19
Dose 1 — Moderna
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Injection site reaction, Muscle discomfort, Reaction to previous exposure to any vaccine, Tenderness — Feeling: Good · Muscle or body achesFree text: Very Slight tenderness @ shot sight, only when touched. Very slight muscle discomfort below shot, Barely noticeable. Nothing different from flu shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: The muscle directly below the injection site got more tender at about 24hrs. It is slowly going away & is about 1/2 as tender as yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Myalgia — Feeling: Good · Muscle or body achesFree text: Just same localized muscle tenderness below the injection site. Tender to the touch but about 1/2 of yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pruritus — Feeling: Good · Muscle or body achesFree text: No pain, slight itch at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
-
2021-03-19
Dose 2 — Moderna
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-06-18
- 2021-09-19
-
2021-10-27
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
-
2021-12-01
Survey response — day 35, dose 3MedDRA: Joint swelling, Muscle spasms, Pain in extremity, Telemedicine — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Ongoing left knee swollen and lower leg pain & cramping. · Healthcare visit (other): Telecon w/ general practice Dr.MedDRA releases: 2024-11 · check-in free text available
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2021-12-01
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-02
- 2021-12-03
-
2021-12-08
Survey response — day 42, dose 3MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Left knee & lower leg pain. I reported this in last checkin. You called & I forgot to call back.MedDRA releases: 2024-11 · check-in free text available
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2021-12-08
Report sent to call center — day 42, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-09
- 2021-12-13
-
2021-12-15
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-26
- 2022-04-27
-
2022-11-08
Dose 4 — Moderna
- 2022-11-08
- 2022-11-09
- 2022-11-10
- 2022-11-11
- 2022-11-12
- 2022-11-13
- 2022-11-14
- 2022-11-15
- 2022-11-22
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2022-11-29
Survey response — day 21, dose 4MedDRA: Reaction to previous exposure to any vaccine, Skin discolouration — Feeling: GoodFree text: Base of big toe seems to be blackening. Similar to the reaction from the initial 2 doses of Moderna.MedDRA releases: 2024-11 · check-in free text available
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2022-12-06
Survey response — day 28, dose 4MedDRA: Nail bed bleeding, Nail discolouration, Vaccine positive rechallenge — Feeling: GoodFree text: Left big toe nail has turned black, bleeding underneath. Also happened after initial 2 Moderna doses.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-13
- 2022-12-20
- 2023-02-07
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2023-05-11
Survey response — 6 months, dose 4MedDRA: Cholecystectomy, Cholelithiasis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
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2023-05-11
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-11-08 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Very Slight tenderness @ shot sight, only when touched. Very slight muscle discomfort below shot, Barely noticeable. Nothing different from flu shot.
Systemic reaction (other): The muscle directly below the injection site got more tender at about 24hrs. It is slowly going away & is about 1/2 as tender as yesterday.
Systemic reaction (other): Just same localized muscle tenderness below the injection site. Tender to the touch but about 1/2 of yesterday.
Systemic reaction (other): No pain, slight itch at injection site
Release 10 — day 35, dose 3
Symptoms: Ongoing left knee swollen and lower leg pain & cramping.
Healthcare visit (other): Telecon w/ general practice Dr.
Release 10 — day 42, dose 3
Symptoms: Left knee & lower leg pain. I reported this in last checkin. You called & I forgot to call back.
Release 12 — day 21, dose 4
Symptoms: Base of big toe seems to be blackening. Similar to the reaction from the initial 2 doses of Moderna.
Release 12 — day 28, dose 4
Symptoms: Left big toe nail has turned black, bleeding underneath. Also happened after initial 2 Moderna doses.
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 | Telemedicine | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cholecystectomy | · | · | ✓ |
| SD | Cholelithiasis | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Nail bed bleeding | · | · | ✓ |
| SD | Nail discolouration | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Skin discolouration | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Muscle discomfort | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release