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4T4-25289-43553

2 vaccinations 4 coded responses 22 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
104 / NY
Registered
2021-01-28
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Registered in v-safe
  2. 2021-01-28
    Dose 1 — Moderna
  3. 2021-01-28
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-25
    Dose 2 — Moderna
  13. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Limb immobilisation, Pain, Pyrexia — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: One day after receiving vaccine unable to move my arm, felt feverish fatiged and had aches allover my body
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Loss of personal independence in daily activities — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: My post vaccine symptoms have slowed down my ability to perform my normal daily activities friday was post vaccination day #1 and it was the worst. Since then I have been improving and severity of symptoms decreasing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-18
    Survey response — day 21, dose 2
    MedDRA: Asthma prophylaxis, Chronic obstructive pulmonary disease, Epistaxis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Exacerbation of asthma and copd. Episode of epistaxis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-18
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-03-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-08
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-05-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-26
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Joint swelling, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Im having severe swelling and pain to my left knee. Im seeing an Orthopedist to find a diagnosis. · Healthcare visit (other): Appointment with Orthopedist
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  26. 2021-08-26
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-08-27
    Call successful
    Participant prefers to complete VAERS report online
  28. 2021-08-27
    Call successful
    Participant prefers to complete VAERS report online
  29. 2022-02-25
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): One day after receiving vaccine unable to move my arm, felt feverish fatiged and had aches allover my body

2021-02-28

Systemic reaction (other): My post vaccine symptoms have slowed down my ability to perform my normal daily activities friday was post vaccination day #1 and it was the worst. Since then I have been improving and severity of symptoms decreasing.

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Exacerbation of asthma and copd. Episode of epistaxis.

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Im having severe swelling and pain to my left knee. Im seeing an Orthopedist to find a diagnosis.
Healthcare visit (other): Appointment with Orthopedist

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
SDArthralgia ✓ · ✓
SDAsthma prophylaxis ✓ ✓ ✓
SDChronic obstructive pulmonary disease ✓ ✓ ✓
SDEpistaxis ✓ ✓ ✓
SDJoint swelling ✓ · ✓
SDOffice visit ✓ · ✓
SDPre-existing disease ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROLimb immobilisation ✓ ✓ ✓
SROLoss of personal independence in daily activities ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release