2BF-12484-80031
3 vaccinations
6 coded responses
32 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 491 / MI
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Dose 1 — Moderna
-
2021-03-20
Registered in v-safe
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-04-13
Dose 2 — Moderna
- 2021-04-13
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-21
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-07-13
- 2021-10-12
-
2022-01-17
Dose 3 — Moderna
-
2022-01-20
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Contusion — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Underarm pain and big bruise a bit below armpit, next to breast, same side of body as injection.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-21
Survey response — days 1–6 daily, dose 3MedDRA: Contusion, Lymph node pain, Mobility decreased, Skin discolouration — Feeling: Good · Site: RednessFree text: As reported yesterday, there is still a large bruise under the armpit of the arm where I received the shot. It is still black and blue. Not swollen or painful. Lymph pain in armpit has diminished. Arm mobility is back to normal.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-22
Survey response — days 1–6 daily, dose 3MedDRA: Contusion, Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Lymph swelling/pain is early gone. Still have painless, soft large bruise under armpit.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-23
Survey response — days 1–6 daily, dose 3MedDRA: Injection site bruising — Feeling: GoodFree text: Still have big bruise under armpit of arm where shot was given.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-24
-
2022-01-31
Survey response — day 14, dose 3MedDRA: Chest discomfort, Throat tightness — Feeling: GoodFree text: Slight tightness in chest and ribs, sometimes throat.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-07
Survey response — day 21, dose 3MedDRA: Chest discomfort, Discomfort, Musculoskeletal discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Still experiencing some kind of chest/neck glandular or circulatory discomfort.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-07
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-09
-
2022-02-11
Call successfulParticipant prefers to complete VAERS report online
- 2022-02-14
- 2022-02-21
- 2022-02-28
- 2022-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2022-01-17 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Underarm pain and big bruise a bit below armpit, next to breast, same side of body as injection.
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): As reported yesterday, there is still a large bruise under the armpit of the arm where I received the shot. It is still black and blue. Not swollen or painful. Lymph pain in armpit has diminished. Arm mobility is back to normal.
Systemic reaction (other): Lymph swelling/pain is early gone. Still have painless, soft large bruise under armpit.
Systemic reaction (other): Still have big bruise under armpit of arm where shot was given.
Release 11 — day 14, dose 3
Symptoms: Slight tightness in chest and ribs, sometimes throat.
Release 11 — day 21, dose 3
Symptoms: Still experiencing some kind of chest/neck glandular or circulatory discomfort.
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 | Chest discomfort | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Musculoskeletal discomfort | · | · | ✓ |
| SD | Throat tightness | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Contusion | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Skin discolouration | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release