2P9-21993-43548
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 100 / NY
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Nausea, DiarrheaAdult check-in
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort — Feeling: Fair · Site: PainFree text: Chest feels tight. Not bad enough to seek help.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
-
2021-01-21
Survey response — day 7, dose 1MedDRA: Lymph node pain — Feeling: Fair · Site: PainFree text: The arm I was given the vaccine in, in the axilla, the lymph nodes are extresmly painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Survey response — day 14, dose 1MedDRA: Ophthalmic migraine, Visual impairment — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had some sort of visual disturbance they are attributing to an ocular migraine - which I have never hadMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-04
- 2021-02-11
-
2021-02-12
Dose 2 — Moderna
- 2021-02-18
- 2021-02-19
- 2021-02-28
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-28
Survey response — day 42, dose 2MedDRA: Arthralgia, Mobility decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have been having really bad arthritis pain since vaccination. I did not think to include it...it started gradually. I can hardly move my handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-14
-
2021-05-27
Call successfulParticipant prefers to complete VAERS report online
-
2021-08-15
Survey response — 6 months, dose 2MedDRA: Arthritis, Autoimmune disorder, Pre-existing disease — 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: Symptoms: The vaccine gave me a major arthritis flair. · Healthcare visit (other): Not a big deal but it def irritated my immune system and I had an autoimmune responseMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-15
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
-
2021-08-18
Call successfulCompleted over the phone
- 2021-11-06
- 2021-11-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
3 call center cases
1 successful · 2 unsuccessful
VAERS report filed, before or during a call: 1
2 waits over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Chest feels tight. Not bad enough to seek help.
Release 2 — day 7, dose 1
Systemic reaction (other): The arm I was given the vaccine in, in the axilla, the lymph nodes are extresmly painful.
Release 3 — day 14, dose 1
Symptoms: I had some sort of visual disturbance they are attributing to an ocular migraine - which I have never had
Release 6 — day 42, dose 2
Symptoms: I have been having really bad arthritis pain since vaccination. I did not think to include it...it started gradually. I can hardly move my hands
Release 9 — 6 months, dose 2
Symptoms: The vaccine gave me a major arthritis flair.
Healthcare visit (other): Not a big deal but it def irritated my immune system and I had an autoimmune response
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 | Autoimmune disorder | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Arthritis | ✓ | · | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Ophthalmic migraine | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release