2DS-24159-65652
2 vaccinations
4 coded responses
9 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 928 / CA
- Registered
- 2021-05-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-23
Dose 1 — Moderna
-
2021-05-17
Registered in v-safe
- 2021-05-17
-
2021-05-21
Dose 2 — Moderna
-
2021-05-21
Health check-in — day 0, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-05-21
Report sent to call center — day 0, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-05-23
Survey response — days 1–6 daily, dose 2MedDRA: Swelling of eyelid — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Face filler under 1 eye medium swelling. Cheek sticking outMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Survey response — days 1–6 daily, dose 2MedDRA: Burning sensation, Injection site pain, Periorbital swelling, Rash, Rash erythematous, Swelling face — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Face under eye and cheek still super swollen now rash of redness across swollen cheek. Burning sensation at injection site and felt like burning weird feeling inside my lung/heartMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-05-27
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2021-05-28
Survey response — day 7, dose 2MedDRA: Chest discomfort, Exercise tolerance decreased — Feeling: Fair · Headache, Muscle or body achesFree text: Same thing I felt from start like weird heaviness around my lungs. Cant workout hard to take super deep breathaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-08
Survey response — day 14, dose 2MedDRA: Breast pain, Chest pain, Pain — Feeling: FairFree text: The pain under my lungs has moved to my left breast sharp painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2022-05-06
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Moderna | |
| 2 | 2021-05-21 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Face filler under 1 eye medium swelling. Cheek sticking out
Systemic reaction (other): Face under eye and cheek still super swollen now rash of redness across swollen cheek. Burning sensation at injection site and felt like burning weird feeling inside my lung/heart
Release 8 — day 7, dose 2
Systemic reaction (other): Same thing I felt from start like weird heaviness around my lungs. Cant workout hard to take super deep breatha
Release 8 — day 14, dose 2
Symptoms: The pain under my lungs has moved to my left breast sharp pains
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 | Breast pain | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ○ | ○ | ○ |
| SRO | Exercise tolerance decreased | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Periorbital swelling | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
| SRO | Swelling of eyelid | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release