3Q4-25396-28746
4 vaccinations
11 coded responses
43 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 334 / FL
- Registered
- 2021-04-11
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-21
Dose 1 — Moderna
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2021-04-11
Registered in v-safe
- 2021-04-11
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2021-04-18
Dose 2 — Moderna
- 2021-04-18
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Musculoskeletal chest pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Severe pain in mid back and side under rib cage.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 2MedDRA: Musculoskeletal chest pain — Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painFree text: Pain at bottom of rib cage that wraps aroundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-23
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2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-25
- 2021-05-04
- 2021-05-11
- 2021-05-16
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2021-05-25
Survey response — day 35, dose 2MedDRA: Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches and nausea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-30
Survey response — day 42, dose 2MedDRA: Back pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe lower back pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-30
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-18
- 2021-10-17
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2021-11-18
Dose 3 — Moderna
- 2021-11-18
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2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
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2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node in armpit.MedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · HeadacheFree text: Swollen lymph node in armpit.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-24
- 2021-11-25
- 2021-12-02
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2021-12-11
Survey response — day 21, dose 3MedDRA: Joint swelling, Rash — Feeling: GoodFree text: A rash down both legs with some swelling in the ankles.MedDRA releases: 2024-11 · check-in free text available
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2021-12-16
Survey response — day 28, dose 3MedDRA: Headache, Rash, Rash vesicular — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Rash on both legs is finally going away. Bad headache are still lingering and a blister rash has appeared on my hand.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-23
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2021-12-30
Survey response — day 42, dose 3MedDRA: Headache, Vestibular neuronitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Vestibular neuritis. Chronic headachesMedDRA releases: 2024-11 · check-in free text available
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2021-12-30
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-01-04
Call successfulCompleted over the phone
- 2022-02-17
- 2022-05-21
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2022-10-29
Dose 4 — Moderna
- 2022-10-29
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2022-10-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-10-31
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2022-11-01
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph node on my collarbone.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
- 2022-11-04
- 2022-11-05
- 2022-11-14
- 2022-11-21
- 2022-11-27
- 2022-12-10
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2023-01-31
Survey response — 3 months, dose 4MedDRA: Anaemia, Pre-existing disease — Feeling: FairMedDRA releases: 2024-11
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Moderna | |
| 2 | 2021-04-18 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-10-29 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Severe pain in mid back and side under rib cage.
Systemic reaction (other): Pain at bottom of rib cage that wraps around
Release 8 — day 35, dose 2
Symptoms: Headaches and nausea.
Release 8 — day 42, dose 2
Symptoms: Severe lower back pain.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph node in armpit.
Systemic reaction (other): Swollen lymph node in armpit.
Release 10 — day 21, dose 3
Symptoms: A rash down both legs with some swelling in the ankles.
Release 10 — day 28, dose 3
Symptoms: Rash on both legs is finally going away. Bad headache are still lingering and a blister rash has appeared on my hand.
Release 10 — day 42, dose 3
Symptoms: Vestibular neuritis. Chronic headaches
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph node on my collarbone.
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 | Anaemia | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash vesicular | · | · | ✓ |
| SD | Vestibular neuronitis | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release