3QQ-14612-23349
3 vaccinations
1 coded response
28 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 338 / FL
- Registered
- 2021-09-17
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
FLD-32933-10816
Child or adolescent in my care · Male · 2022-07-02
Timeline
-
2021-08-01
Dose 1 — Moderna
-
2021-09-17
Registered in v-safe
-
2021-09-17
Dose 2 — Moderna
- 2021-09-17
-
2021-09-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-09-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Swelling · Fever · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-09-24
Health check-in — day 7, dose 2Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-01
- 2021-10-10
- 2021-10-22
- 2021-10-29
- 2021-12-17
- 2022-03-18
-
2022-07-02
Dose 3 — Moderna
-
2022-07-02
Health check-in — day 0, dose 3Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-07-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2022-07-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2022-07-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2022-07-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-07-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
-
2022-07-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Fever · Joint pains, Muscle or body aches, DiarrheaAdult check-in
-
2022-07-09
Health check-in — day 7, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Fever · Joint pains, Muscle or body achesAdult check-in
- 2022-07-16
- 2022-07-23
- 2022-07-30
- 2022-08-06
- 2022-08-13
-
2022-10-03
Survey response — 3 months, dose 3MedDRA: Bursitis, Periarthritis, Rotator cuff syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Left shoulder requires treatment for: Shoulder Tendinitis Subacromial Bursitis Impingement Syndrome Adhesive Capsulitis of ShoulderMedDRA releases: 2024-11 · check-in free text available
-
2022-10-03
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-05
- 2023-01-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-01 | Moderna | No |
| 2 | 2021-09-17 | Moderna | No |
| 3 | 2022-07-02 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-03 | Unsuccessful |
Free text
Release 12 — 3 months, dose 3
Symptoms: Left shoulder requires treatment for: Shoulder Tendinitis Subacromial Bursitis Impingement Syndrome Adhesive Capsulitis of Shoulder
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 | Bursitis | · | · | ✓ |
| SD | Periarthritis | · | · | ✓ |
| SD | Rotator cuff syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release