4R3-21881-60073
3 vaccinations
6 coded responses
29 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 930 / CA
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Moderna
- 2021-02-17
- 2021-02-18
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy, Pre-existing disease — Feeling: Good · Joint pains, DiarrheaFree text: I have had breast cancer. They removed 17 lymph nodes. My lymph nodes are a little sore and feel swollen. That can happen to me without a vaccination so maybe not related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: Rash on both hands and lower arms. Saw my Infectious Desease doctor today. He said classic symptoms from the vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-24
Health check-in — day 7, dose 1Feeling: Good · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-03
- 2021-03-12
-
2021-03-17
Dose 2 — Moderna
- 2021-03-17
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-19
- 2021-03-20
- 2021-03-22
- 2021-03-24
- 2021-03-31
- 2021-04-09
- 2021-04-15
- 2021-04-21
- 2021-04-29
- 2021-06-16
-
2021-08-30
Dose 3 — Moderna
-
2021-09-15
Survey response — day 14, dose 3MedDRA: Cellulitis, Neck pain, Office visit, Pain in extremity, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Sore arm and neck on vaccination armI also got cellulitis on my left arm and breast. I had breast cancer 10 years ago and get cellulitis easily. · Healthcare visit (other): Saw my infectious DoctorMedDRA releases: 2024-11 · check-in free text available
-
2021-09-15
Survey response — 6 months, dose 2MedDRA: Breast cellulitis, Cellulitis, Neck pain, Pain in extremity, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had my booster shot for Moderna a week and a half ago. For the last three weeks I have had a sore arm and neck on the right side where I had all three vaccinations. I also got cellulitis on my left arm and breast. I had breast cancer 10 yea.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-15
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-15
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-17
-
2021-09-20
Survey response — day 21, dose 3MedDRA: Arthralgia, Fatigue, Lymph node pain, Neck pain, Pain, Pain in extremity — Feeling: FairFree text: Very tired. Right arm still hurts and radiates up to my shoulder and neck. Lymph nodes are very tender and sore.I am considering seeing my doctor. No appointment yet though.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-27
-
2021-10-06
Survey response — day 35, dose 3MedDRA: Arthralgia, Breast tenderness, Fatigue, Injection site reaction, Lymph node pain, Neck pain, Office visit, Pain, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Itchy rash around injection sight. Very tender lymph nodes and breast. Sore shoulder on injection arm radiating to neck. Tired. · Healthcare visit (other): Breast cancer doctorMedDRA releases: 2024-11 · check-in free text available
-
2021-10-06
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-07
- 2021-10-12
- 2021-10-12
-
2021-10-12
Call successfulCompleted over the phone
- 2021-11-29
- 2022-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-08-30 | Moderna | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I have had breast cancer. They removed 17 lymph nodes. My lymph nodes are a little sore and feel swollen. That can happen to me without a vaccination so maybe not related.
Systemic reaction (other): Rash on both hands and lower arms. Saw my Infectious Desease doctor today. He said classic symptoms from the vaccination.
Release 9 — day 14, dose 3
Symptoms: Sore arm and neck on vaccination armI also got cellulitis on my left arm and breast. I had breast cancer 10 years ago and get cellulitis easily.
Healthcare visit (other): Saw my infectious Doctor
Release 9 — 6 months, dose 2
Symptoms: I had my booster shot for Moderna a week and a half ago. For the last three weeks I have had a sore arm and neck on the right side where I had all three vaccinations. I also got cellulitis on my left arm and breast. I had breast cancer 10 yea.
Release 9 — day 21, dose 3
Symptoms: Very tired. Right arm still hurts and radiates up to my shoulder and neck. Lymph nodes are very tender and sore.I am considering seeing my doctor. No appointment yet though.
Release 10 — day 35, dose 3
Symptoms: Itchy rash around injection sight. Very tender lymph nodes and breast. Sore shoulder on injection arm radiating to neck. Tired.
Healthcare visit (other): Breast cancer doctor
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 | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Breast cellulitis | · | · | ✓ |
| SD | Breast tenderness | · | · | ✓ |
| SD | Cellulitis | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site reaction | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release