4XF-47119-78035
3 vaccinations
3 coded responses
8 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 021 / MA
- Registered
- 2021-12-02
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Moderna
-
2021-03-26
Dose 2 — Moderna
-
2021-11-24
Dose 3 — Pfizer-BioNTech
-
2021-12-02
Registered in v-safe
-
2021-12-02
Survey response — day 7, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: The nodules in my neck on the left side where I took the vaccine was swollen and hurtingMedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2022-01-07
- 2022-02-23
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2022-05-31
Survey response — 6 months, dose 3MedDRA: Pruritus, Rash, Self-medication — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have developed a rash all over my body that comes in patches like allergies. I have never had before it's over 2 months now . I have been taking Zyrtec every night otherwise I'm going crazy with the itching. I have never ever had this before.MedDRA releases: 2024-11 · check-in free text available
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2022-05-31
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-06-01
Call successfulParticipant prefers to complete VAERS report online
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2022-11-24
Survey response — 12 months, dose 3MedDRA: Loss of personal independence in daily activities, Self-medication, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I still break out in hives all over my body. I have to take Zyrtec every night to be able to function next day.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-24
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | No |
| 2 | 2021-03-26 | Moderna | No |
| 3 | 2021-11-24 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 10 — day 7, dose 3
Systemic reaction (other): The nodules in my neck on the left side where I took the vaccine was swollen and hurting
Release 11 — 6 months, dose 3
Symptoms: I have developed a rash all over my body that comes in patches like allergies. I have never had before it's over 2 months now . I have been taking Zyrtec every night otherwise I'm going crazy with the itching. I have never ever had this before.
Release 12 — 12 months, dose 3
Symptoms: I still break out in hives all over my body. I have to take Zyrtec every night to be able to function next day.
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 | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release