3N8-16271-86469
2 vaccinations
7 coded responses
9 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 452 / OH
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-27
Dose 2 — Moderna
-
2021-01-30
Registered in v-safe
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body achesFree text: Leg swelling, both equally - happened after first dose as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body achesFree text: Lower leg/calf swelling lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling, Peripheral vascular disorder — Feeling: Fair · Site: Redness, Itching · Muscle or body achesFree text: Swelling in legs / circulation reduced both legs still present.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Cardiovascular disorder, Swelling — Feeling: Good · Muscle or body achesFree text: Reduced circulation to lower legs feet. Feeling of swelling better than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — day 7, dose 2MedDRA: Peripheral swelling — Feeling: Good · Site: PainFree text: Slight swelling in both legs with reduced circulation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
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2021-02-17
Survey response — day 21, dose 2MedDRA: Adverse reaction, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Per personal doctor, possibly experiencing Raynauds Syndrome as side affect of vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-03
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2021-04-30
Survey response — 3 months, dose 2MedDRA: Fatigue, Libido decreased — Feeling: GoodFree text: Fatigue, reduced sex drive.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-05
-
2021-10-06
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Leg swelling, both equally - happened after first dose as well.
Systemic reaction (other): Lower leg/calf swelling lymph node
Systemic reaction (other): Swelling in legs / circulation reduced both legs still present.
Systemic reaction (other): Reduced circulation to lower legs feet. Feeling of swelling better than yesterday.
Release 3 — day 7, dose 2
Systemic reaction (other): Slight swelling in both legs with reduced circulation.
Release 4 — day 21, dose 2
Symptoms: Per personal doctor, possibly experiencing Raynauds Syndrome as side affect of vaccine.
Release 8 — 3 months, dose 2
Symptoms: Fatigue, reduced sex drive.
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 |
|---|---|---|---|---|
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Libido decreased | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SRO | Cardiovascular disorder | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Peripheral vascular disorder | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release