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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

  1. 2021-05-21
    Dose 1 — Moderna
  2. 2021-05-23
    Registered in v-safe
  3. 2021-05-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-05-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-05-30
    Health check-in — day 7, dose 1
    Feeling: 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 visit
    Adult check-in
  6. 2021-05-30
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-06-06
    Survey response — day 14, dose 1
    MedDRA: Injection site pruritus, Injection site rash, Injection site swelling, Joint swelling — Feeling: Fair · Be unable to do your normal daily activities
    Free 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 too
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-19
    Dose 2 — Moderna
  9. 2021-06-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Intense charlie horse like pain in my calf that isn't fading and a squeezing not painful feeling in my chest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Significant Bruising (larger than fist) at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Squeezing pain and I occasional numbness from arm of injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-07-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-08-02
    Survey response — day 42, dose 2
    MedDRA: 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 visit
    Free text: DiarrheaStomach painChest painBody achesChillsNauseaFever
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  14. 2021-08-02
    Report sent to call center — day 42, 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
    1 call case(s)
  15. 2021-08-09
    Call successful
    Does not wish to fill out VAERS report
  16. 2021-08-09
    Call successful
    Does not wish to fill out VAERS report
  17. 2021-09-20
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  18. 2022-06-19
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-21Moderna
22021-06-19Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-06-06

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

2021-06-20

Systemic reaction (other): Intense charlie horse like pain in my calf that isn't fading and a squeezing not painful feeling in my chest

2021-06-21

Systemic reaction (other): Significant Bruising (larger than fist) at injection site

2021-06-22

Systemic reaction (other): Squeezing pain and I occasional numbness from arm of injection site

Release 9 — day 42, dose 2

2021-08-02

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain upper ✓ · ✓
SDChest pain ✓ · ✓
SDChills ✓ · ✓
SDDizziness ✓ · ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDJoint swelling ✓ ✓ ✓
SDNausea ✓ · ✓
SDPain ✓ · ✓
SDPyrexia ✓ · ✓
SROChest discomfort ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site hypoaesthesia ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROPain ✓ ✓ ✓

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