3T2-24671-56882
5 vaccinations
8 coded responses
57 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 190 / PA
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Registered in v-safe
-
2021-02-16
Dose 1 — Moderna
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
-
2021-02-23
Survey response — day 7, dose 1MedDRA: Lymph node pain, Rhinorrhoea — Feeling: Fair · Fatigue or tirednessFree text: Runny nose; tender lymph nodes in neck on left sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
-
2021-03-09
Survey response — day 21, dose 1MedDRA: Fatigue, Lymph node pain — Feeling: GoodFree text: Tender neck lymph nodes again (first experienced last Tuesday) and fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Dose 2 — Moderna
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Impaired driving ability — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Briefly light-headed in a.m. so did not drive todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-06-15
- 2021-09-14
-
2021-10-26
Dose 3 — Moderna
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-03-30
Dose 4 — Moderna
- 2022-04-18
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-06-29
-
2022-09-26
Dose 5 — Moderna
-
2022-09-27
Survey response — days 1–6 daily, dose 5MedDRA: Dizziness, Hyperhidrosis, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sweating and feeling of faintness this morning, and tinnitusMedDRA releases: 2024-11 · check-in free text available
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
-
2022-10-10
Survey response — day 14, dose 5MedDRA: Pre-existing disease, Rosacea — Feeling: GoodFree text: Worsening of rosacea, for which I am applying my existing prescription for metronidazole creamMedDRA releases: 2024-11 · check-in free text available
-
2022-10-17
Survey response — day 21, dose 5MedDRA: Contact lens intolerance, Corrective lens user, Dry eye, Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Skin rash and dry eye, which started a few days after vaccination, has not significantly improved. I am following ophthalmologist advice for home care and have a follow up appointment on Friday. I have been unable to wear contact lenses. · Healthcare visit (other): Visit to doctor officeMedDRA releases: 2024-11 · check-in free text available
-
2022-10-17
Report sent to call center — day 21, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-18
-
2022-10-18
Call successfulParticipant prefers to complete VAERS report online
-
2022-10-24
Survey response — day 28, dose 5MedDRA: Dry eye, Office visit, Pre-existing disease, Rosacea — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Worsening rosacea and eye dryness that may be associated with rosacea. · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
-
2022-10-24
Report sent to call center — day 28, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-26
- 2022-11-02
-
2022-11-07
Survey response — day 42, dose 5MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: The worsening of dermatological rosacea and onset of ocular rosacea symptoms persist. I am under treatment. I attribute these to a significant, transient, immune response the morning following vaccination. I will submit an adverse reaction report. · Healthcare visit (other): Office visit.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-07
Report sent to call center — day 42, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2022-11-08
- 2022-11-08
- 2022-12-26
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-03-30 | Moderna | No |
| 5 | 2022-09-26 | Moderna | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Runny nose; tender lymph nodes in neck on left side
Release 5 — day 21, dose 1
Symptoms: Tender neck lymph nodes again (first experienced last Tuesday) and fatigue.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Briefly light-headed in a.m. so did not drive today
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Sweating and feeling of faintness this morning, and tinnitus
Release 12 — day 14, dose 5
Symptoms: Worsening of rosacea, for which I am applying my existing prescription for metronidazole cream
Release 12 — day 21, dose 5
Symptoms: Skin rash and dry eye, which started a few days after vaccination, has not significantly improved. I am following ophthalmologist advice for home care and have a follow up appointment on Friday. I have been unable to wear contact lenses.
Healthcare visit (other): Visit to doctor office
Release 12 — day 28, dose 5
Symptoms: Worsening rosacea and eye dryness that may be associated with rosacea.
Healthcare visit (other): Office visit
Release 12 — day 42, dose 5
Symptoms: The worsening of dermatological rosacea and onset of ocular rosacea symptoms persist. I am under treatment. I attribute these to a significant, transient, immune response the morning following vaccination. I will submit an adverse reaction report.
Healthcare visit (other): Office visit.
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 | Office visit | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Contact lens intolerance | · | · | ✓ |
| SD | Corrective lens user | · | · | ✓ |
| SD | Dry eye | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rosacea | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Impaired driving ability | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release