2X6-49182-80910
3 vaccinations
6 coded responses
26 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 681 / NE
- Registered
- 2021-05-07
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-05
Dose 1 — Moderna
-
2021-05-07
Registered in v-safe
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-19
- 2021-05-26
-
2021-06-02
Dose 2 — Moderna
- 2021-06-02
- 2021-06-03
-
2021-06-04
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteFree text: Rash under armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-05
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort, Lymphadenopathy — Feeling: Fair · Site: PainFree text: Armpit/Lymph node swelling discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-06
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Discomfort, Lymphadenopathy — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Armpit/Lymph node discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-07
- 2021-06-08
- 2021-06-09
- 2021-06-16
-
2021-06-23
Survey response — day 21, dose 2MedDRA: Fatigue, Hyperhidrosis, Nausea, Pain — Feeling: FairFree text: Sudden Body aches, fatigue, mild nausea and profuse sweating for approximately 14 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-30
- 2021-07-07
- 2021-07-14
- 2021-09-01
-
2021-12-01
Survey response — 6 months, dose 2MedDRA: Rash, Urticaria — Feeling: Good · Be unable to do your normal daily activitiesFree text: After my second dose of Modena (approx 5 days later) my right hand broke out in a weird hive-like rash. Originally, I just thought it was from me wearing gloves and cleaning out the garage but I have had breakouts on only this hand ever since.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-08
Dose 3 — Moderna
-
2022-05-10
Survey response — 3 months, dose 3MedDRA: Alopecia, Office visit, Rash — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Hair loss and rash on left hand · Healthcare visit (other): DermatologistMedDRA releases: 2024-11 · check-in free text available
-
2022-05-10
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-11
Call successfulParticipant prefers to complete VAERS report online
- 2022-08-09
- 2023-02-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-05 | Moderna | |
| 2 | 2021-06-02 | Moderna | |
| 3 | 2022-02-08 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Rash under armpit
Systemic reaction (other): Armpit/Lymph node swelling discomfort
Systemic reaction (other): Armpit/Lymph node discomfort
Release 9 — day 21, dose 2
Symptoms: Sudden Body aches, fatigue, mild nausea and profuse sweating for approximately 14 hours
Release 10 — 6 months, dose 2
Symptoms: After my second dose of Modena (approx 5 days later) my right hand broke out in a weird hive-like rash. Originally, I just thought it was from me wearing gloves and cleaning out the garage but I have had breakouts on only this hand ever since.
Release 11 — 3 months, dose 3
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 | · | · | ✓ |
| SD | Alopecia | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ○ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release