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
-
2021-03-15
Dose 1 — Moderna
-
2021-03-24
Registered in v-safe
-
2021-03-24
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-29
Survey response — day 14, dose 1MedDRA: Arthralgia, Asthenia, Pain in extremity, Rash, Rash erythematous, Rash macular, Skin warm — Feeling: GoodFree 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 weightsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
-
2022-03-15
Survey response — 12 months, dose 1MedDRA: Intermenstrual bleeding, Menstrual disorder, Menstruation irregular, Office visit, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professionalFree 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
-
2022-03-15
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2022-03-16
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — day 14, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Menstrual disorder | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Urinary tract infection | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Intermenstrual bleeding | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release