2CP-17514-86617
2 vaccinations
5 coded responses
11 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 836 / ID
- Registered
- 2021-05-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-21
Dose 1 — Moderna
-
2021-05-23
Registered in v-safe
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2021-05-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-30
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-05-30
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-06
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash, Injection site swelling, Joint swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Vaccination site still has a rash and is swollen/itchy despite being two weeks since vaccination. My hip (birth injury from two years ago) has been swelling tooMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-19
Dose 2 — Moderna
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2021-06-20
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Muscle spasms — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Intense charlie horse like pain in my calf that isn't fading and a squeezing not painful feeling in my chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Significant Bruising (larger than fist) at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-22
Survey response — days 1–6 daily, dose 2MedDRA: Injection site hypoaesthesia, Pain — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Squeezing pain and I occasional numbness from arm of injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-12
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2021-08-02
Survey response — day 42, dose 2MedDRA: Abdominal pain upper, Chest pain, Chills, Dizziness, Nausea, Pain, Pyrexia — 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 · Outpatient clinic or urgent care clinic visitFree text: DiarrheaStomach painChest painBody achesChillsNauseaFeverMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-02
Report sent to call center — day 42, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-08-09
Call successfulDoes not wish to fill out VAERS report
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2021-08-09
Call successfulDoes not wish to fill out VAERS report
- 2021-09-20
- 2022-06-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-21 | Moderna | |
| 2 | 2021-06-19 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 8 — day 14, dose 1
Symptoms: Vaccination site still has a rash and is swollen/itchy despite being two weeks since vaccination. My hip (birth injury from two years ago) has been swelling too
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Intense charlie horse like pain in my calf that isn't fading and a squeezing not painful feeling in my chest
Systemic reaction (other): Significant Bruising (larger than fist) at injection site
Systemic reaction (other): Squeezing pain and I occasional numbness from arm of injection site
Release 9 — day 42, dose 2
Symptoms: DiarrheaStomach painChest painBody achesChillsNauseaFever
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 | Abdominal pain upper | ✓ | · | ✓ |
| SD | Chest pain | ✓ | · | ✓ |
| SD | Chills | ✓ | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release