2UW-22523-43024
5 vaccinations
12 coded responses
57 check-ins
12 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 601 / IL
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-03-03
Dose 2 — Moderna
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
-
2021-03-17
Survey response — day 14, dose 2MedDRA: Contusion, Skin tightness, Spider vein, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have noticed a tight feeling around my lower legs and have developed lightly bruised areas and spider veins. I didnt report it earlier because I didnt think it was related. · Healthcare visit (other): Have an appointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
-
2021-08-19
Dose 3 — Moderna
-
2021-08-19
Survey response — day 0, dose 3MedDRA: Hypoaesthesia — Feeling: Good · HeadacheFree text: I still feel numbness around my ankles which appeared after my first shot.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-20
Survey response — days 1–6 daily, dose 3MedDRA: Peripheral venous disease, Varicose vein — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: Swollen varicose veinsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-21
Survey response — days 1–6 daily, dose 3MedDRA: Vasodilatation, Vitreous floaters — Feeling: FairFree text: Swollen veins and eye floaterMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-22
Survey response — days 1–6 daily, dose 3MedDRA: Vitreous floaters — Feeling: GoodFree text: Eye floaterMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-23
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event, Vitreous floaters — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Eye floater · Healthcare visit (other): Scheduled opthomology appointment for 8/26MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-23
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-24
Survey response — days 1–6 daily, dose 3MedDRA: Oral herpes, Vitreous floaters — Feeling: GoodFree text: Eye floater, cold soreMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-24
-
2021-08-25
Survey response — days 1–6 daily, dose 3MedDRA: Vitreous floaters — Feeling: GoodFree text: Eye floaterMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-26
Survey response — day 7, dose 3MedDRA: Vitreous floaters — Feeling: Good · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Eye floatersMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-26
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-26
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-01
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-02
Survey response — day 14, dose 3MedDRA: Gastrointestinal disorder — Feeling: FairFree text: Intestinal problems andMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-09
-
2021-09-16
Survey response — day 28, dose 3MedDRA: Hypoaesthesia — Feeling: FairFree text: Numbness in ankles and lower legs.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-23
- 2021-09-30
- 2021-11-18
- 2022-02-17
-
2022-05-27
Dose 4 — Moderna
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-05-31
- 2022-06-01
- 2022-06-02
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-07-08
- 2022-08-26
-
2022-09-19
Dose 5 — Moderna
- 2022-10-22
- 2022-10-24
- 2022-10-31
-
2022-12-19
Survey response — 3 months, dose 5MedDRA: COVID-19, Ear pain, Headache, Nasal congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Covid 19 - stuffy, runny nose, headache, sore earMedDRA releases: 2024-11 · check-in free text available
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-08-19 | Moderna | No |
| 4 | 2022-05-27 | Moderna | No |
| 5 | 2022-09-19 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 5 — day 14, dose 2
Symptoms: I have noticed a tight feeling around my lower legs and have developed lightly bruised areas and spider veins. I didnt report it earlier because I didnt think it was related.
Healthcare visit (other): Have an appointment
Release 9 — day 0, dose 3
Systemic reaction (other): I still feel numbness around my ankles which appeared after my first shot.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen varicose veins
Systemic reaction (other): Swollen veins and eye floater
Systemic reaction (other): Eye floater
Systemic reaction (other): Eye floater
Healthcare visit (other): Scheduled opthomology appointment for 8/26
Systemic reaction (other): Eye floater, cold sore
Systemic reaction (other): Eye floater
Release 9 — day 7, dose 3
Systemic reaction (other): Eye floaters
Release 9 — day 14, dose 3
Symptoms: Intestinal problems and
Release 9 — day 28, dose 3
Symptoms: Numbness in ankles and lower legs.
Release 12 — 3 months, dose 5
Symptoms: Covid 19 - stuffy, runny nose, headache, sore ear
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Skin tightness | ✓ | ✓ | ✓ |
| SD | Spider vein | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | · | ✓ |
| SRO | Oral herpes | ✓ | · | ✓ |
| SRO | Peripheral venous disease | ✓ | · | ✓ |
| SRO | Varicose vein | ✓ | · | ✓ |
| SRO | Vasodilatation | ✓ | · | ✓ |
| SRO | Vitreous floaters | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release