3RE-18945-92500
5 vaccinations
4 coded responses
57 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-18
-
2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
-
2021-03-08
Survey response — day 21, dose 2MedDRA: Breast discomfort, Lymphadenopathy — Feeling: GoodFree text: Left under arm and breast discomfort much of last week. A PET scan taken on 2/18 came back showing axillary lymph node hypermetabolic lymphadenopathy. Am to repeat scan in a month.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-22
-
2021-03-31
Survey response — day 42, dose 2MedDRA: Axillary pain, Injection site pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pain in shoulder and under armpit on side of vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-17
- 2021-08-16
-
2021-11-01
Dose 3 — Moderna
-
2021-11-27
Survey response — day 21, dose 3MedDRA: Chills, Pyrexia — Feeling: Fair · 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: Low grade fever and chills. Possible URI or UTI.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-27
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-29
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-30
- 2021-12-06
- 2021-12-13
- 2022-01-31
- 2022-05-02
-
2022-05-14
Dose 4 — Moderna
-
2022-05-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-20
- 2022-05-21
-
2022-05-28
Survey response — day 14, dose 4MedDRA: Loss of personal independence in daily activities, Neuropathy peripheral, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a flare up of neuropathy in feet a day after last check in. Required staying off my feet as much as possible for a day.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-04
- 2022-06-11
- 2022-06-18
- 2022-06-25
- 2022-08-13
-
2022-09-22
Dose 5 — Moderna
-
2022-09-23
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-12-22
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-05-14 | Moderna | No |
| 5 | 2022-09-22 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — day 21, dose 2
Symptoms: Left under arm and breast discomfort much of last week. A PET scan taken on 2/18 came back showing axillary lymph node hypermetabolic lymphadenopathy. Am to repeat scan in a month.
Release 6 — day 42, dose 2
Symptoms: Pain in shoulder and under armpit on side of vaccination.
Release 10 — day 21, dose 3
Symptoms: Low grade fever and chills. Possible URI or UTI.
Release 11 — day 14, dose 4
Symptoms: Had a flare up of neuropathy in feet a day after last check in. Required staying off my feet as much as possible for a day.
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 | Axillary pain | ✓ | ✓ | ✓ |
| SD | Breast discomfort | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release