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3BJ-16888-27728

2 vaccinations 2 coded responses 9 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
344 / FL
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-04
    Dose 1 — Moderna
  2. 2021-03-04
    Dose 2 — Moderna
  3. 2021-03-16
    Registered in v-safe
  4. 2021-03-16
    Survey response — day 7, dose 2
    MedDRA: Abdominal pain, Arthralgia, Chills, Diarrhoea, Fatigue, Headache, Myalgia, Nausea, Rash — Feeling: Good
    Free text: Chills, headache, joint pains, muscle aches & pains, fatigue, nausea, diarrhea, abdominal pain, rash upper stomach, eye pain all experienced for 5 days after second Moderna vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-03-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-04-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-04-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-04-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-06-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-09-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2022-03-04
    Survey response — 12 months, dose 2
    MedDRA: Neck mass, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: The day after the Moderna Booster, I developed a lump on the right side of my neck. Was large but has finally gone down to small. I can still see it and feel it. Dr. Checked it out while I was there for a different reason, and just said ok. · Healthcare visit (other): Primary care dr
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-03-04
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2022-03-07
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-04Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): Chills, headache, joint pains, muscle aches & pains, fatigue, nausea, diarrhea, abdominal pain, rash upper stomach, eye pain all experienced for 5 days after second Moderna vaccine.

Release 11 — 12 months, dose 2

2022-03-04

Symptoms: The day after the Moderna Booster, I developed a lump on the right side of my neck. Was large but has finally gone down to small. I can still see it and feel it. Dr. Checked it out while I was there for a different reason, and just said ok.
Healthcare visit (other): Primary care dr

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDNeck mass · · ✓
SDOffice visit · · ✓
SROAbdominal pain ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRORash ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release