4NY-11719-78689
4 vaccinations
8 coded responses
48 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 222 / VA
- 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
- 2021-03-23
- 2021-03-24
- 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
-
2021-04-23
Dose 2 — Moderna
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
-
2021-06-04
Survey response — day 42, dose 2MedDRA: Lymphadenopathy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I didnt mention it earlier but I have a swollen gland on the same side as the vaccine. Doesnt hurt but it is still swollen six weeks later. · Healthcare visit (other): Normal doctors Visit is scheduled, not yet completedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-04
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-23
- 2021-10-22
-
2021-10-30
Dose 3 — Moderna
- 2021-10-30
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Swollen lymph node in armpit, tenderMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-06
- 2021-11-13
- 2021-11-22
- 2021-11-27
-
2021-12-04
Survey response — day 35, dose 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: I got a coldMedDRA releases: 2024-11 · check-in free text available
- 2021-12-11
-
2022-01-29
Survey response — 3 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-04-07
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-30
-
2022-10-28
Dose 4 — ModernaCo-administered: Flu
- 2022-10-30
-
2022-10-30
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Pain — Feeling: Good · Site: PainFree text: I had aches and tiredness yesterday but better todayMedDRA releases: 2024-11 · check-in free text available
-
2022-10-31
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: I have a swollen lymph node again in my clavicleMedDRA releases: 2024-11 · check-in free text available
-
2022-11-01
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: Continues enlargement of lymph nodeMedDRA releases: 2024-11 · check-in free text available
- 2022-11-02
- 2022-11-03
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
-
2022-12-09
Survey response — day 42, dose 4MedDRA: Gastrointestinal disorder, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: I caught a cold and then had some digestive symptomsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-10-28 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 8 — day 42, dose 2
Symptoms: I didnt mention it earlier but I have a swollen gland on the same side as the vaccine. Doesnt hurt but it is still swollen six weeks later.
Healthcare visit (other): Normal doctors Visit is scheduled, not yet completed
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph node in armpit, tender
Release 10 — day 35, dose 3
Symptoms: I got a cold
Release 11 — 3 months, dose 3
Symptoms: I had COVID
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I had aches and tiredness yesterday but better today
Systemic reaction (other): I have a swollen lymph node again in my clavicle
Systemic reaction (other): Continues enlargement of lymph node
Release 12 — day 42, dose 4
Symptoms: I caught a cold and then had some digestive symptoms
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release