3BD-31581-87117
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 201 / VA
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-01-31
Registered in v-safe
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2021-01-31
Dose 1 — Moderna
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2021-01-31
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
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2021-02-14
Survey response — day 14, dose 1MedDRA: Fatigue, Injection site pain, Injection site rash, Injection site reaction, Injection site warmth, Skin tightness, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Bulleseye rash at the area of injection. Hot to touch, sore, tightness, rash spreading outward on the arm. Fatigue as well. · Healthcare visit (other): Have an appointment on 2/15/21 to see doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-21
Survey response — day 21, dose 1MedDRA: Immunisation reaction — Feeling: Good · Be unable to do your normal daily activitiesFree text: Went to the doctor about the Covid bullseye. The redness, tenderness, and heat spread down the upper arm. It lasted for about 8 days. The arm is still tender and has a knot . The heat and redness have disappeared.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Dose 2 — Moderna
- 2021-02-25
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tirednessAdult check-in
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2021-03-04
Health check-in — day 7, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-07-30
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2021-08-26
Survey response — 6 months, dose 2MedDRA: Arthralgia, Office visit, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Pain in the shoulder and upper arm · Healthcare visit (other): Saw my regular doctorMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-26
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-31
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2021-09-16
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2022-02-27
Survey response — 12 months, dose 2MedDRA: Lymphadenopathy, Unevaluable event — Feeling: GoodFree text: Noticed some swelling in the lymph nodes in the left armpit area. The same arm I've had problems with since the vaccine. If it stays, I'll go to the doctor in the Spring.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
Symptoms: Bulleseye rash at the area of injection. Hot to touch, sore, tightness, rash spreading outward on the arm. Fatigue as well.
Healthcare visit (other): Have an appointment on 2/15/21 to see doctor.
Release 4 — day 21, dose 1
Symptoms: Went to the doctor about the Covid bullseye. The redness, tenderness, and heat spread down the upper arm. It lasted for about 8 days. The arm is still tender and has a knot . The heat and redness have disappeared.
Release 9 — 6 months, dose 2
Symptoms: Pain in the shoulder and upper arm
Healthcare visit (other): Saw my regular doctor
Release 11 — 12 months, dose 2
Symptoms: Noticed some swelling in the lymph nodes in the left armpit area. The same arm I've had problems with since the vaccine. If it stays, I'll go to the doctor in the Spring.
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 | ✓ | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Skin tightness | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release