2XB-13636-44625
3 vaccinations
6 coded responses
32 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 910 / CA
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Dose 1 — Moderna
-
2021-02-09
Registered in v-safe
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2021-02-09
Survey response — day 7, dose 1MedDRA: Medical counselling, Nail discolouration — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Toe nail moons are red · Healthcare visit (other): Called my Walgreens pharmacist for advice then informed my PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-15
Survey response — day 14, dose 1MedDRA: Medical counselling, Skin reaction — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Covid Arm · Healthcare visit (other): Also informed my PHPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-22
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2021-03-02
Dose 2 — Moderna
- 2021-03-02
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-31
-
2021-04-06
Survey response — day 35, dose 2MedDRA: Eye pruritus, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: FairFree text: Sneezing, runny nose, itchy eyes and sore throat. I think its allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-06-01
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2021-07-18
Call successfulParticipant prefers to complete VAERS report online
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2021-10-26
Dose 3 — Moderna
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Ear pain — Feeling: Fair · Site: PainFree text: Left ear painMedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
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2021-11-16
Survey response — day 21, dose 3MedDRA: Bone pain, Joint swelling, Office visit, Peripheral swelling, Rash, Rash erythematous — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Red rash and swelling on top of right hand by index finger, in palm below thumb and on top of wrist surrounding wrist bone. Wrist bone area sore · Healthcare visit (other): DermatologistMedDRA releases: 2024-11 · check-in free text available
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2021-11-16
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-18
- 2021-11-23
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
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2022-04-26
Survey response — 6 months, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: Didn't think to mention before but infrequent pain continues in 1st booster injection site left armMedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Toe nail moons are red
Healthcare visit (other): Called my Walgreens pharmacist for advice then informed my PCP
Release 4 — day 14, dose 1
Release 7 — day 35, dose 2
Symptoms: Sneezing, runny nose, itchy eyes and sore throat. I think its allergies.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Left ear pain
Release 10 — day 21, dose 3
Symptoms: Red rash and swelling on top of right hand by index finger, in palm below thumb and on top of wrist surrounding wrist bone. Wrist bone area sore
Healthcare visit (other): Dermatologist
Release 11 — 6 months, dose 3
Symptoms: Didn't think to mention before but infrequent pain continues in 1st booster injection site left arm
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Bone pain | · | · | ✓ |
| SD | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash erythematous | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Skin reaction | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Nail discolouration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release