4MU-14367-94627
2 vaccinations
6 coded responses
12 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 554 / MN
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-02-20
Dose 2 — Moderna
-
2021-02-22
Registered in v-safe
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Chills, Dizziness, Fatigue, Headache, Injection site pain, Injection site reaction, Musculoskeletal stiffness, Myalgia, Nausea, Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: On the 21st, I had a fever of of close to 101F. Bad headache, chills, dizziness, stiff neck, mild nausea/queasiness, total exhaustion, muscle and joint pain and soreness and stiffness at injection site. So yesterday, severe, today, mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort, Erythema, Fatigue, Pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: The redness on my upper arm started yesterday- its pretty pronounced and the soreness is uncomfortable but I am able to do my normal activities. When I first noticed the redness, I worried about whether it could be a blood clot. I havent contacted my doctor about it but am wondering if I should. I still feel achy and fatigued but much better than On Sunday and Monday, overall.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-01
Survey response — day 7, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Soreness has persisted in arm area near injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
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2021-03-20
Survey response — day 28, dose 2MedDRA: Headache, Rhinorrhoea — Feeling: FairFree text: I had a little runny nose Wednesday -Thursdayand Ive had a headache off and on.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — day 35, dose 2MedDRA: Headache, Rash, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: In addition to headaches, I now have an isolated rash on my back near my spine. I am seeing a dermatologist on Tuesday. · Healthcare visit (other): Upcoming appointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-22
- 2021-08-21
- 2022-01-14
-
2022-02-20
Survey response — 12 months, dose 2MedDRA: Morphoea, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Probable morphea, form of scleroderma · Healthcare visit (other): Clinic visitMedDRA releases: 2024-11 · check-in free text available
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2022-02-20
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-22
-
2022-02-25
Callback requested for11:45AM ET
-
2022-02-25
Call successfulCompleted over the phone
-
2022-02-25
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-20 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): On the 21st, I had a fever of of close to 101F. Bad headache, chills, dizziness, stiff neck, mild nausea/queasiness, total exhaustion, muscle and joint pain and soreness and stiffness at injection site. So yesterday, severe, today, mild.
Systemic reaction (other): The redness on my upper arm started yesterday- its pretty pronounced and the soreness is uncomfortable but I am able to do my normal activities. When I first noticed the redness, I worried about whether it could be a blood clot. I havent contacted my doctor about it but am wondering if I should. I still feel achy and fatigued but much better than On Sunday and Monday, overall.
Release 4 — day 7, dose 2
Systemic reaction (other): Soreness has persisted in arm area near injection site
Release 6 — day 28, dose 2
Symptoms: I had a little runny nose Wednesday -Thursdayand Ive had a headache off and on.
Release 6 — day 35, dose 2
Symptoms: In addition to headaches, I now have an isolated rash on my back near my spine. I am seeing a dermatologist on Tuesday.
Healthcare visit (other): Upcoming appointment
Release 11 — 12 months, dose 2
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Morphoea | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release