3TJ-94369-77934
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 832 / ID
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-22
Dose 1 — Moderna
-
2020-12-28
Registered in v-safe
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2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Dysphagia, Myalgia — Feeling: GoodFree text: On 12/23, day after 1st shot, around noon, I felt like I couldn't swallow. It lasted for about an hour. That same day around 4 pm, I started to get muscle aches. That lasted about 4 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-29
Survey response — day 7, dose 1MedDRA: Lymph node pain, Office visit, Pre-existing disease — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have a very sensitive lymph node on my collarbone last night. I had a doc see it today and he says it could be a side effect from the shot. But after I told him I had a rash at my hairline over a month ago, he ruled out an infection from that rash that caused the sensitivity of the lymph node.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-29
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-05
- 2021-01-12
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2021-01-18
Call successfulParticipant prefers to complete VAERS report online
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2021-01-19
Dose 2 — Moderna
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2021-01-19
Survey response — day 0, dose 2MedDRA: Blood pressure increased, Dysphagia — Feeling: Fair · Site: Pain · NauseaFree text: Hard to swallow and increased B/PMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-03-02
- 2022-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-19 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): On 12/23, day after 1st shot, around noon, I felt like I couldn't swallow. It lasted for about an hour. That same day around 4 pm, I started to get muscle aches. That lasted about 4 hours.
Release 1 — day 7, dose 1
Systemic reaction (other): I have a very sensitive lymph node on my collarbone last night. I had a doc see it today and he says it could be a side effect from the shot. But after I told him I had a rash at my hairline over a month ago, he ruled out an infection from that rash that caused the sensitivity of the lymph node.
Release 2 — day 0, dose 2
Systemic reaction (other): Hard to swallow and increased B/P
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 |
|---|---|---|---|---|
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Dysphagia | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release