2MN-29431-61260
4 vaccinations
16 coded responses
34 check-ins
16 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 922 / CA
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Registered in v-safe
-
2021-01-30
Dose 1 — Moderna
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Blister, Lip blister — Feeling: Good · Site: Pain · Fever · Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Blisters on lip and behind right ear.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Terrible allergy attacks. Carrying my epi pen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-07
-
2021-02-13
Survey response — day 14, dose 1MedDRA: Dry skin, Erythema, Pruritus, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fever and my face turning red and my skin very hot. Face itching. I took anti histamines.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
-
2021-02-27
Dose 2 — Moderna
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Mobility decreased, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: My arm is severely sore i can't hardly lift my left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to workFree text: Its been so bad i cant get out of bed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-06
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-15
- 2021-03-20
- 2021-03-28
- 2021-04-03
-
2021-04-10
Survey response — day 42, dose 2MedDRA: Alopecia, Injection site reaction — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sores on my arm where i had the vaccine, and my hair is falling out. Its extreme.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-29
-
2021-08-24
Dose 3 — Moderna
-
2021-08-28
Survey response — 6 months, dose 2MedDRA: Central venous catheterisation, Fatigue, Osteomyelitis, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Severe bone infection. I have a picc line and an receiving IV antibiotics daily. I am improving. I had my booster shot Tuesday. I have been very fatigued with low grade fever.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-28
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-02
-
2022-03-05
Survey response — 12 months, dose 2MedDRA: Pregnancy, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomach detention. Looks like i am 4 months pregnant. I dont know what has caused this. Severe nausea I need zofran.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Dose 4 — Moderna
-
2022-04-25
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-26
Survey response — days 1–6 daily, dose 4MedDRA: Blood blister, Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): I have what looks like blood blisters on my arms. · Healthcare visit (other): Trying to get a hold of my doctorsMedDRA releases: 2024-11 · check-in free text available
-
2022-04-26
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-27
-
2022-04-28
Survey response — days 1–6 daily, dose 4MedDRA: Blood blister, Pterygium — Feeling: Fair · Site: Redness · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Blood blister on my arms. They just appear. · Healthcare visit (other): Doctor has suggested for me to go to the ER. I have issues with like webbing in my right eye that just appeared. So many little issues have occured.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-29
-
2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-11
Survey response — day 14, dose 4MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bleeding under my skin on my arms and bruising on my back???MedDRA releases: 2024-11 · check-in free text available
-
2022-05-18
Survey response — day 21, dose 4MedDRA: Fatigue, Hyperhidrosis, Office visit, Skin discolouration — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigued and still getting marks on both arms like bleeding under my skin. Severe sweating that the doctors can't figure out.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-02
Survey response — day 35, dose 4MedDRA: Depression, Petechiae — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bleeding under my skin on both arms. Also severe depression.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-08
Survey response — day 42, dose 4MedDRA: Haemorrhage subepidermal, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Bleeding under my skin on both arms. I am not on any blood thinners. Its getting worse on the side where i had my vaccine. Dr cant figure it out. · Healthcare visit (other): Doctor's officeMedDRA releases: 2024-11 · check-in free text available
-
2022-06-08
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-06-09
- 2022-06-09
- 2022-06-09
- 2022-06-09
- 2022-06-09
-
2022-06-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-06-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-06-09
Call successfulCompleted over the phone
-
2022-06-09
Call successfulCompleted over the phone
-
2022-06-09
Call successfulCompleted over the phone
-
2022-07-25
Survey response — 3 months, dose 4MedDRA: Haemorrhage subcutaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Still bleeding under my skin on my arms, both arms. The doctor is trying to figure it out.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-25
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-26
- 2022-07-26
- 2022-07-26
- 2022-07-26
- 2022-07-26
- 2022-07-26
-
2022-10-24
Survey response — 6 months, dose 4MedDRA: Anaemia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: AnemiaMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-08-24 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
Call center
6 call center cases
5 successful · 1 unsuccessful
VAERS report filed, before or during a call: 4
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Blisters on lip and behind right ear.
Systemic reaction (other): Terrible allergy attacks. Carrying my epi pen.
Release 4 — day 14, dose 1
Symptoms: Fever and my face turning red and my skin very hot. Face itching. I took anti histamines.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My arm is severely sore i can't hardly lift my left arm.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Its been so bad i cant get out of bed.
Release 7 — day 42, dose 2
Symptoms: Sores on my arm where i had the vaccine, and my hair is falling out. Its extreme.
Release 9 — 6 months, dose 2
Symptoms: Severe bone infection. I have a picc line and an receiving IV antibiotics daily. I am improving. I had my booster shot Tuesday. I have been very fatigued with low grade fever.
Release 11 — 12 months, dose 2
Symptoms: Stomach detention. Looks like i am 4 months pregnant. I dont know what has caused this. Severe nausea I need zofran.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I have what looks like blood blisters on my arms.
Healthcare visit (other): Trying to get a hold of my doctors
Systemic reaction (other): Blood blister on my arms. They just appear.
Healthcare visit (other): Doctor has suggested for me to go to the ER. I have issues with like webbing in my right eye that just appeared. So many little issues have occured.
Release 11 — day 14, dose 4
Symptoms: Bleeding under my skin on my arms and bruising on my back???
Release 11 — day 21, dose 4
Symptoms: Fatigued and still getting marks on both arms like bleeding under my skin. Severe sweating that the doctors can't figure out.
Release 11 — day 35, dose 4
Symptoms: Bleeding under my skin on both arms. Also severe depression.
Release 11 — day 42, dose 4
Symptoms: Bleeding under my skin on both arms. I am not on any blood thinners. Its getting worse on the side where i had my vaccine. Dr cant figure it out.
Healthcare visit (other): Doctor's office
Release 12 — 3 months, dose 4
Symptoms: Still bleeding under my skin on my arms, both arms. The doctor is trying to figure it out.
Release 12 — 6 months, dose 4
Symptoms: Anemia
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 | · | · | ✓ |
| HCVO | Pterygium | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Alopecia | ✓ | ✓ | ✓ |
| SD | Anaemia | · | · | ✓ |
| SD | Central venous catheterisation | ✓ | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Dry skin | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Haemorrhage subcutaneous | · | · | ✓ |
| SD | Haemorrhage subepidermal | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Osteomyelitis | ✓ | · | ✓ |
| SD | Petechiae | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Skin discolouration | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Blister | ✓ | ✓ | ✓ |
| SRO | Blood blister | · | · | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Lip blister | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release