2FE-19677-04875
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 234 / VA
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-05
- 2021-02-12
- 2021-02-21
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Poor · Site: Pain · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Joint-like pain was in my neck and lower backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-04-06
Survey response — day 35, dose 2MedDRA: Lichen sclerosus, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have developed Lichen Sclerosus. Symptoms started about 4 weeks ago. I was diagnosed with it after seeing my doctor April 1st. Ive never had it before or had any skin issue like that. · Healthcare visit (other): I saw my doctor in person.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-28
-
2021-08-29
Survey response — 6 months, dose 2MedDRA: Arthralgia, Lichen sclerosus, Musculoskeletal stiffness, Office visit, Pain — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Since March, right knee has symptoms of arthritis/bursitis - pain when bending, stiff after sitting/sleeping. Also in the spring, I was diagnosed with Lichen Sclerosis. Never had those symptoms before. Wonder if auto-immune response to vaccine (??) · Healthcare visit (other): Went to my family doctor.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-29
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-31
-
2021-08-31
Call successfulParticipant prefers to complete VAERS report online
- 2022-03-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Joint-like pain was in my neck and lower back
Release 7 — day 35, dose 2
Symptoms: I have developed Lichen Sclerosus. Symptoms started about 4 weeks ago. I was diagnosed with it after seeing my doctor April 1st. Ive never had it before or had any skin issue like that.
Healthcare visit (other): I saw my doctor in person.
Release 9 — 6 months, dose 2
Symptoms: Since March, right knee has symptoms of arthritis/bursitis - pain when bending, stiff after sitting/sleeping. Also in the spring, I was diagnosed with Lichen Sclerosis. Never had those symptoms before. Wonder if auto-immune response to vaccine (??) cut off by CDC
Healthcare visit (other): Went to my family 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 | Arthralgia | ✓ | · | ✓ |
| SD | Lichen sclerosus | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release