2QK-22099-61298
1 vaccination
3 coded responses
16 check-ins
3 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 834 / ID
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
-
2021-01-05
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-05
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, HeadacheAdult check-in
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
-
2021-01-11
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-01-18
Survey response — day 14, dose 1MedDRA: Hypersensitivity, Injection site erythema, Injection site pruritus, Injection site warmth — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had an allergic reaction according to the urgent care doctor. I had a red, hot, itchy, spreading reaction on my arm starting at the injection site and expanding outwards down my upper left arm. It is still a problem.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-18
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-25
- 2021-02-01
-
2021-02-08
Survey response — day 35, dose 1MedDRA: Erythema, Groin pain, Pain, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Painful leg sensitive to both gentle and firm touch. Pain started 5 days ago and has spread all the way to my foot and up to my groin. Slightly red. Extremely uncomfortable and painful when walking.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-15
- 2021-03-19
-
2021-03-19
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-04-05
- 2021-07-05
-
2022-01-04
Survey response — 12 months, dose 1MedDRA: Anovulatory cycle — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Inability to ovulateMedDRA releases: 2024-11 · check-in free text available
-
2022-01-04
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna |
Call center
4 call center cases
3 successful · 1 unsuccessful
VAERS report filed, before or during a call: 3
Free text
Release 2 — day 14, dose 1
Symptoms: I had an allergic reaction according to the urgent care doctor. I had a red, hot, itchy, spreading reaction on my arm starting at the injection site and expanding outwards down my upper left arm. It is still a problem.
Release 3 — day 35, dose 1
Symptoms: Painful leg sensitive to both gentle and firm touch. Pain started 5 days ago and has spread all the way to my foot and up to my groin. Slightly red. Extremely uncomfortable and painful when walking.
Release 10 — 12 months, dose 1
Symptoms: Inability to ovulate
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 | Anovulatory cycle | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Groin pain | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release