43J-26741-74085
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 774 / TX
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-13
-
2021-01-21
Survey response — day 21, dose 1MedDRA: Hordeolum, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I got a very painful stye inside my left lower eyelid. I was prescribed antibiotics and an eye ointment. · Healthcare visit (other): Went to my optometrists office.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Nausea, DiarrheaAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-19
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-29
Call successfulParticipant prefers to complete VAERS report online
- 2021-04-28
-
2021-07-30
Survey response — 6 months, dose 2MedDRA: Cough, Headache, Office visit, Paranasal sinus discomfort, Rhinitis allergic, Rhinorrhoea, SARS-CoV-2 test negative, Sinus congestion, Sinusitis — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus congestion, runny nose, sinus pressure headache, cough. I saw my allergist yesterday and was diagnosed with allergic rhinitis and sinus infection. Before visiting the allergist I took a Covid antigen test which was negative.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-30
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-04
-
2022-01-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-01-27
Survey response — 12 months, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: I got a Moderna booster vaccine on 12/9/21 and experienced swollen, sore lymph nodes under my arms. It occurred a few days after the booster shot and lasted about 2 weeks. Since then it's occurred occasionally but has not been as painful as at first.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 2 — day 21, dose 1
Symptoms: I got a very painful stye inside my left lower eyelid. I was prescribed antibiotics and an eye ointment.
Healthcare visit (other): Went to my optometrists office.
Release 9 — 6 months, dose 2
Symptoms: Sinus congestion, runny nose, sinus pressure headache, cough. I saw my allergist yesterday and was diagnosed with allergic rhinitis and sinus infection. Before visiting the allergist I took a Covid antigen test which was negative.
Release 11 — 12 months, dose 2
Symptoms: I got a Moderna booster vaccine on 12/9/21 and experienced swollen, sore lymph nodes under my arms. It occurred a few days after the booster shot and lasted about 2 weeks. Since then it's occurred occasionally but has not been as painful as at first. cut off by CDC
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 | Cough | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hordeolum | ✓ | ✓ | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Paranasal sinus discomfort | ✓ | · | ✓ |
| SD | Rhinitis allergic | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Sinus congestion | ✓ | · | ✓ |
| SD | Sinusitis | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release