2DL-25640-35313
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 229 / VA
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-29
Dose 2 — Moderna
-
2021-04-30
Registered in v-safe
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-22
- 2021-05-27
-
2021-06-03
Survey response — day 35, dose 2MedDRA: Inflammation, Office visit, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Arm has been hurting ever since injection. Went to doctor. Have inflammation. Doctor gave me injection for inflammation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-10
Survey response — day 42, dose 2MedDRA: Adverse reaction, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Arm and shoulder issues in same arm as injection · Healthcare visit (other): Went to my doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-10
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-21
Call successfulParticipant prefers to complete VAERS report online
- 2021-07-31
-
2021-10-30
Survey response — 6 months, dose 2MedDRA: Office visit, Pain in extremity, Tenderness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: The arm is still very achy and I can't lay on that side at all. I had hoped it would be better by now but it is worse. Not sure about where to receive the booster. I don't want to mess up my good arm but not sure I can stand my left arm getting worse · Healthcare visit (other): My holistic doctor.MedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-03
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-29 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 8 — day 35, dose 2
Symptoms: Arm has been hurting ever since injection. Went to doctor. Have inflammation. Doctor gave me injection for inflammation.
Release 9 — day 42, dose 2
Symptoms: Arm and shoulder issues in same arm as injection
Healthcare visit (other): Went to my doctor
Release 10 — 6 months, dose 2
Symptoms: The arm is still very achy and I can't lay on that side at all. I had hoped it would be better by now but it is worse. Not sure about where to receive the booster. I don't want to mess up my good arm but not sure I can stand my left arm getting worse cut off by CDC
Healthcare visit (other): My holistic doctor.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release