4KF-27719-69934
4 vaccinations
11 coded responses
41 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 129 / NY
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
-
2021-01-11
Health check-in — day 7, dose 1Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-18
- 2021-01-25
-
2021-02-01
Dose 2 — Moderna
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Poor · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Sore armpit near injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore armpit under injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessFree text: Sore and swollen armpit under injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Itching · Headache, Fatigue or tirednessFree text: Sore and swollen armpit under injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-16
- 2021-02-22
- 2021-03-03
- 2021-03-08
- 2021-03-15
- 2021-08-04
-
2021-10-30
Dose 3 — Moderna
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tirednessFree text: Swollen lymph node in armpit, same side as injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: Painful swolleb lymph nodes in armpit, same side as injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy, Paraesthesia — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tirednessFree text: Painful, swollen lymph node in armpit near injection site. Also, pins and needles sensation that comes and goes in the my feet.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Swelling · Headache, Fatigue or tirednessFree text: Swollen and sore lymph node in armpit near injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-13
- 2021-11-20
-
2021-11-28
Survey response — day 28, dose 3MedDRA: Fatigue — Feeling: FairFree text: FatigueMedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2021-12-11
- 2022-01-30
- 2022-04-30
-
2022-09-18
Dose 4 — Moderna
-
2022-09-20
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Chills, Fatigue or tirednessFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-09-21
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sore throat and coughMedDRA releases: 2024-11 · check-in free text available
-
2022-09-21
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-09-22
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2022-09-22
Report sent to call center — days 1–6 daily, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-22
-
2022-09-22
Callback requested for05:00PM ET
-
2022-09-22
Call successfulParticipant prefers to complete VAERS report online
-
2022-09-23
Call successfulParticipant prefers to complete VAERS report online
- 2022-10-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-09-18 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Sore armpit near injection site
Systemic reaction (other): Sore armpit under injection site
Systemic reaction (other): Sore and swollen armpit under injection site
Systemic reaction (other): Sore and swollen armpit under injection site
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph node in armpit, same side as injection
Systemic reaction (other): Painful swolleb lymph nodes in armpit, same side as injection
Systemic reaction (other): Painful, swollen lymph node in armpit near injection site. Also, pins and needles sensation that comes and goes in the my feet.
Systemic reaction (other): Swollen and sore lymph node in armpit near injection site
Release 10 — day 28, dose 3
Symptoms: Fatigue
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat and cough
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 | Fatigue | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release