3MQ-19678-46804
5 vaccinations
5 coded responses
61 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 282 / NC
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-19
Registered in v-safe
-
2021-04-19
Dose 1 — Moderna
-
2021-04-19
Survey response — day 0, dose 1MedDRA: Limb discomfort — Feeling: Fair · Muscle or body achesFree text: Unusual Heaviness in my legs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Chest discomfort, Chest pain, Erythema, Neck pain, Pain in extremity, Peripheral swelling, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body achesFree text: Stabbing pains in my neck and back. I also experienced chest tightness and pains, but I think the chest tightness and pains are symptoms of a reaction to a strong powerful new deodorant i recently yried in the last 4 days that gave me that freak reaction. All other symptoms were from the Moderna Vaccine. My arm is red, itching and swollen. My legs and back and neck have pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Myalgia, Neck pain — Feeling: Fair · Site: Pain, Redness · Chills, Muscle or body achesFree text: Today, the muscle pain and back and neck pain comes and goes. I have periodic relief from the pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
-
2021-05-03
Survey response — day 14, dose 1MedDRA: Skin odour abnormal, Taste disorder, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I have an underarm perspiration odor issue taking place. I am not sure what the problem is. It has been going on for quite some time now. My doctor is prescribing a medical antiperspirant for me culled Drysol. I. My sense of taste is off today. · Healthcare visit (other): I have a psychiatrist visit this Wednesday. I may have to cancel. I was scheduled to pickup new eyeglasses. I couldn't go yeti.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-10
-
2021-05-17
Dose 2 — Moderna
- 2021-05-24
-
2021-05-31
Survey response — day 14, dose 2MedDRA: Mood swings, Night sweats — Feeling: GoodFree text: Night sweats and mood swings exactly one week after the second dose of the Moderna Vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-07
- 2021-06-14
- 2021-06-21
- 2021-06-28
- 2021-08-16
- 2021-11-15
-
2021-11-17
Dose 3 — Moderna
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-02-16
- 2022-04-14
-
2022-04-19
Dose 4 — Moderna
- 2022-04-19
- 2022-04-19
-
2022-04-19
Call successfulDoes not wish to fill out VAERS report
-
2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-07-19
-
2022-10-17
Dose 5 — Moderna
- 2022-10-18
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2023-01-16
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Moderna | |
| 2 | 2021-05-17 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
| 5 | 2022-10-17 | Moderna | No |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Unusual Heaviness in my legs.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Stabbing pains in my neck and back. I also experienced chest tightness and pains, but I think the chest tightness and pains are symptoms of a reaction to a strong powerful new deodorant i recently yried in the last 4 days that gave me that freak reaction. All other symptoms were from the Moderna Vaccine. My arm is red, itching and swollen. My legs and back and neck have pain.
Systemic reaction (other): Today, the muscle pain and back and neck pain comes and goes. I have periodic relief from the pain.
Release 8 — day 14, dose 1
Symptoms: I have an underarm perspiration odor issue taking place. I am not sure what the problem is. It has been going on for quite some time now. My doctor is prescribing a medical antiperspirant for me culled Drysol. I. My sense of taste is off today.
Healthcare visit (other): I have a psychiatrist visit this Wednesday. I may have to cancel. I was scheduled to pickup new eyeglasses. I couldn't go yeti.
Release 8 — day 14, dose 2
Symptoms: Night sweats and mood swings exactly one week after the second dose of the Moderna Vaccine.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Mood swings | ✓ | ✓ | ✓ |
| SD | Night sweats | ✓ | ✓ | ✓ |
| SD | Skin odour abnormal | ✓ | ✓ | ✓ |
| SD | Taste disorder | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release