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49D-33033-71070

1 vaccination 2 coded responses 4 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
300 / GA
Registered
2021-03-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-15
    Dose 1 — Moderna
  2. 2021-03-24
    Registered in v-safe
  3. 2021-03-24
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2021-03-29
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Asthenia, Pain in extremity, Rash, Rash erythematous, Rash macular, Skin warm — Feeling: Good
    Free text: The rash on my left arm returned yesterday (March 28th). The rash is fading today. The rash was splotchy, red, and hot, but not itchy. In addition, some mild pain returned to my arm and shoulder joint. My shoulder felt weak, like I had lifted weights
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2022-03-15
    Survey response — 12 months, dose 1
    MedDRA: Intermenstrual bleeding, Menstrual disorder, Menstruation irregular, Office visit, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I had an UTI in January. I also had break through bleeding with my menstrual cycle in January (I basically had 2 cycles in January). · Healthcare visit (other): I saw a urologist for the UTI. I saw my OBGYN for the menstrual issue.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-03-15
    Report sent to call center — 12 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2022-03-16
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-29

Symptoms: The rash on my left arm returned yesterday (March 28th). The rash is fading today. The rash was splotchy, red, and hot, but not itchy. In addition, some mild pain returned to my arm and shoulder joint. My shoulder felt weak, like I had lifted weights cut off by CDC

Release 11 — 12 months, dose 1

2022-03-15

Symptoms: I had an UTI in January. I also had break through bleeding with my menstrual cycle in January (I basically had 2 cycles in January).
Healthcare visit (other): I saw a urologist for the UTI. I saw my OBGYN for the menstrual issue.

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

FieldPreferred term2021-092023-042024-11
HCVOMenstrual disorder · · ✓
HCVOOffice visit · · ✓
HCVOUrinary tract infection · · ✓
SDArthralgia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDIntermenstrual bleeding · · ✓
SDMenstruation irregular · · ✓
SDPain in extremity ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDRash macular ✓ ✓ ✓
SDSkin warm ✓ ✓ ✓
SDUrinary tract infection · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release