2RU-19293-13504
1 vaccination
1 coded response
2 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 479 / IN
- Registered
- 2021-01-29
- Relationship
- Self
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-30
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Sleep disorder — Feeling: Good · Site: PainFree text: Moderate to severe pain at site that lasted a little longer than 48 hours. Waking me up frequently at night for two nightsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-30 | priority 2/3 |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Moderate to severe pain at site that lasted a little longer than 48 hours. Waking me up frequently at night for two nights
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 |
|---|---|---|---|---|
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release