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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

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-04-22
    Dose 2 — Moderna
  3. 2021-12-18
    Dose 3 — Moderna
    Co-administered: Do not remember:Other
  4. 2021-12-22
    Registered in v-safe
  5. 2021-12-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities
    Free 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 neck
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: My right lymph node underneath my right armpit is still a bit tender and a little swollen
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  8. 2021-12-27
    Survey response — day 7, dose 3
    MedDRA: Extrasystoles, Heart rate irregular — Feeling: Good
    Free text: Heart is beating hard and skips
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-06-18
    Survey response — 6 months, dose 3
    MedDRA: 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 visit
    Free 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 days
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-06-18
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  11. 2022-06-21
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna No
22021-04-22Moderna No
32021-12-18Moderna Do not remember:Other

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-22

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

2021-12-23

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

2021-12-27

Systemic reaction (other): Heart is beating hard and skips

Release 12 — 6 months, dose 3

2022-06-18

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
HCVOPalpitations · · ✓
SDFatigue · · ✓
SDPalpitations · · ✓
SROExtrasystoles · · ✓
SROHeart rate irregular · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓

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