3BP-20104-29809
5 vaccinations
9 coded responses
41 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 147 / NY
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Moderna
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen gland armpit area of injection sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
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2021-03-12
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: Mild redness, itching swelling at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
-
2021-03-26
Dose 2 — Moderna
- 2021-03-26
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-09
- 2021-06-25
- 2021-09-24
-
2021-11-04
Dose 3 — Moderna
-
2021-11-04
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Nightmare — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: NightmareMedDRA releases: 2024-11 · check-in free text available
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Pain swelling gland under arm on side of injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · HeadacheFree text: Painful swollen gland underarm on injection sideMedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Fever · Chills, HeadacheFree text: Painful swelling of gland underarm injection sideMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
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2022-02-03
Survey response — 3 months, dose 3MedDRA: Dysphonia, Medical counselling, Pain, Pyrexia, Rhinorrhoea, Sneezing, Throat irritation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Scratchy hoarse throat, Fever, body aches, runny nose, sneezing · Healthcare visit (other): Drive thru covid testMedDRA releases: 2024-11 · check-in free text available
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2022-02-03
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2022-03-30
Call successfulParticipant prefers to complete VAERS report online
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2022-05-05
Survey response — 6 months, dose 3MedDRA: Arthralgia, COVID-19, Myalgia, Neuralgia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: March 8 covid positive. Muscle, joint, nerve pain.MedDRA releases: 2024-11 · check-in free text available
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2022-05-31
Dose 4 — Moderna
-
2022-10-14
Dose 5 — ModernaCo-administered: Flu
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2022-10-26
Survey response — day 7, dose 5MedDRA: Epistaxis, Office visit — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Daily nosebleed · Healthcare visit (other): Dr visit, xray, MRIMedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Report sent to call center — day 7, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-10-28
Call successfulDoes not wish to fill out VAERS report
- 2023-01-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-05-31 | Moderna | No |
| 5 | 2022-10-14 | Moderna | Flu |
Call center
2 call center cases
2 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen gland armpit area of injection side
Release 5 — day 14, dose 1
Symptoms: Mild redness, itching swelling at injection site.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Nightmare
Systemic reaction (other): Pain swelling gland under arm on side of injection
Systemic reaction (other): Painful swollen gland underarm on injection side
Systemic reaction (other): Painful swelling of gland underarm injection side
Release 11 — 3 months, dose 3
Symptoms: Scratchy hoarse throat, Fever, body aches, runny nose, sneezing
Healthcare visit (other): Drive thru covid test
Release 11 — 6 months, dose 3
Symptoms: March 8 covid positive. Muscle, joint, nerve pain.
Release 12 — day 7, dose 5
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 | Arthralgia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Epistaxis | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nightmare | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release