4A2-35769-42714
3 vaccinations
7 coded responses
35 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 551 / MN
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-10
Registered in v-safe
-
2021-04-10
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-15
- 2021-04-21
- 2021-04-28
-
2021-04-29
Dose 2 — Moderna
- 2021-04-29
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
- 2021-10-30
-
2021-11-05
Dose 3 — Moderna
- 2021-11-05
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Pruritus, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: Red, swollen, itch on neck and collarboneMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Pruritus, Swelling — Feeling: Fair · Site: Pain, Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: Redness, swelling, itching on neck near collarboneMedDRA releases: 2024-11 · check-in free text available
-
2021-11-10
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Pruritus, Swelling — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Swelling, redness, itchy on neck by collarboneMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Swelling — Feeling: GoodFree text: Swelling neck by collarboneMedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Survey response — day 7, dose 3MedDRA: Swelling — Feeling: GoodFree text: Slight swelling in neck by collarboneMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
-
2022-02-05
Survey response — 3 months, dose 3MedDRA: Erythema, Lymphadenopathy, Office visit, Pruritus, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Swelling lymph node in collarbone area with red & itch collarbone/neck/upper chest area mostly on injection side. Began on 12/25. Similar to reaction after booster (11/5) except won't go away. Saw doc. Claritin since 1/13. Better but not gone.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-05
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-25
-
2022-03-28
Call successfulParticipant prefers to complete VAERS report online
- 2022-05-06
- 2022-11-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Red, swollen, itch on neck and collarbone
Systemic reaction (other): Redness, swelling, itching on neck near collarbone
Systemic reaction (other): Swelling, redness, itchy on neck by collarbone
Systemic reaction (other): Swelling neck by collarbone
Release 10 — day 7, dose 3
Systemic reaction (other): Slight swelling in neck by collarbone
Release 11 — 3 months, dose 3
Symptoms: Swelling lymph node in collarbone area with red & itch collarbone/neck/upper chest area mostly on injection side. Began on 12/25. Similar to reaction after booster (11/5) except won't go away. Saw doc. Claritin since 1/13. Better but not gone.
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 |
|---|---|---|---|---|
| SD | Erythema | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release