4E9-11780-59520
3 vaccinations
4 coded responses
5 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 300 / GA
- Registered
- 2021-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-25
Dose 1 — Moderna
-
2021-04-22
Dose 2 — Moderna
-
2021-12-18
Dose 3 — ModernaCo-administered: Do not remember:Other
-
2021-12-22
Registered in v-safe
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2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: I had swelling in my lymph nodes especially around the side of my injection underneath my right arm pit on my right side my neckMedDRA releases: 2024-11 · check-in free text available
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2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: My right lymph node underneath my right armpit is still a bit tender and a little swollenMedDRA releases: 2024-11 · check-in free text available
- 2021-12-24
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2021-12-27
Survey response — day 7, dose 3MedDRA: Extrasystoles, Heart rate irregular — Feeling: GoodFree text: Heart is beating hard and skipsMedDRA releases: 2024-11 · check-in free text available
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2022-06-18
Survey response — 6 months, dose 3MedDRA: Fatigue, Office visit, Palpitations — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I am having heart palpitations and get tired a lot faster than before my shots!! · Healthcare visit (other): I am seeing a cardiologist and am currently on heart regulating medication for the palpitations, and I am currently wearing a heart monitor for 30 daysMedDRA releases: 2024-11 · check-in free text available
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2022-06-18
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-06-21
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | No |
| 2 | 2021-04-22 | Moderna | No |
| 3 | 2021-12-18 | Moderna | Do not remember:Other |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had swelling in my lymph nodes especially around the side of my injection underneath my right arm pit on my right side my neck
Systemic reaction (other): My right lymph node underneath my right armpit is still a bit tender and a little swollen
Release 10 — day 7, dose 3
Systemic reaction (other): Heart is beating hard and skips
Release 12 — 6 months, dose 3
Symptoms: I am having heart palpitations and get tired a lot faster than before my shots!!
Healthcare visit (other): I am seeing a cardiologist and am currently on heart regulating medication for the palpitations, and I am currently wearing a heart monitor for 30 days
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 | · | · | ✓ |
| HCVO | Palpitations | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SRO | Extrasystoles | · | · | ✓ |
| SRO | Heart rate irregular | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release