4L3-12825-38691
3 vaccinations
8 coded responses
36 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 598 / MT
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
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2021-03-23
Survey response — day 0, dose 1MedDRA: Dizziness, Feeling abnormal — Feeling: GoodFree text: Light headed/foggyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Abdominal painAdult check-in
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-13
-
2021-04-20
Dose 2 — Moderna
-
2021-04-20
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: No - I just received the shot 30 minutes ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache, Injection site erythema, Injection site swelling, Pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: Swelling at the injection site has doubled but redness decreased. Mostly just tired, body aches and headaches have decreased. I did take an hour nap at work today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · Site: Swelling · HeadacheFree text: Headache has been off and on - uncertain if its vaccination related as much worse yesterday eve and today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-05-04
- 2021-05-12
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-07-20
- 2021-10-19
-
2021-11-04
Dose 3 — Moderna
- 2021-11-08
-
2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy, Pyrexia — Feeling: GoodFree text: Nothing today - missed first few days of reporting and had low grade fever, pain and swelling near lymph nodes in armpit (4 days) that I thought should be noted.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-10
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2021-11-18
Survey response — day 14, dose 3MedDRA: Urticaria — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Covered in hives since last Sunday night. Was out elk hunting last Thur-Sun so missed some check ins. Don't think it's related to vaccine.MedDRA releases: 2024-11 · check-in free text available
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2021-11-18
Report sent to call center — day 14, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-19
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-25
-
2021-12-02
Survey response — day 28, dose 3MedDRA: Feeling abnormal, Office visit, Urticaria — Feeling: Poor · 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: I'm still dealing with hives and online forums and publications seem to indicate that others have experienced this as well. I'm 3 doctors appointments in and no idea what's going on or if it's vaccine related. I did report to VAERS. I'm miserable.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-02
Report sent to call center — day 28, 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)
-
2021-12-03
Call successfulOther
- 2021-12-09
-
2021-12-16
Survey response — day 42, dose 3MedDRA: Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Hives are still showing up despite being on lots of antihistamines since November 15th. Still no indication of what this resulted from but gave no history of this type of event.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-03
- 2022-05-05
- 2022-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Light headed/foggy
Release 7 — day 0, dose 2
Systemic reaction (other): No - I just received the shot 30 minutes ago.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling at the injection site has doubled but redness decreased. Mostly just tired, body aches and headaches have decreased. I did take an hour nap at work today.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Headache has been off and on - uncertain if its vaccination related as much worse yesterday eve and today.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Nothing today - missed first few days of reporting and had low grade fever, pain and swelling near lymph nodes in armpit (4 days) that I thought should be noted.
Release 10 — day 14, dose 3
Symptoms: Covered in hives since last Sunday night. Was out elk hunting last Thur-Sun so missed some check ins. Don't think it's related to vaccine.
Release 10 — day 28, dose 3
Symptoms: I'm still dealing with hives and online forums and publications seem to indicate that others have experienced this as well. I'm 3 doctors appointments in and no idea what's going on or if it's vaccine related. I did report to VAERS. I'm miserable.
Release 10 — day 42, dose 3
Symptoms: Hives are still showing up despite being on lots of antihistamines since November 15th. Still no indication of what this resulted from but gave no history of this type of event.
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 | Feeling abnormal | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release