538-32161-19592
4 vaccinations
9 coded responses
28 check-ins
8 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 221 / VA
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
-
2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Initially I had mild headache and was really tired, but not today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus, Rash, Rhinorrhoea — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: In addition to the rash on my neck, Im experiencing a persistent runny nose and occasional itchy eyes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus, Lacrimation increased, Rash, Rhinorrhoea, Self-medication — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Runny nose and watery, itchy eyes seem to be only unusual problem. Rash cleared up with topical cortisone application.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
-
2021-03-09
Survey response — day 14, dose 1MedDRA: Sciatica — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Im currently being treated for sciatica but not sure if its relevant to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-16
Survey response — day 21, dose 1MedDRA: Neuralgia, Sciatica — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Persistent nerve pain or sciaticaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-23
-
2021-03-26
Dose 2 — Moderna
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
-
2021-04-30
Survey response — day 35, dose 2MedDRA: Injection site pain — Feeling: FairFree text: Pain along right side and at place of injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
-
2021-06-25
Survey response — 3 months, dose 2MedDRA: Medical counselling, Postmenopausal haemorrhage, Vaginal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Ive recently experienced occasional vaginal bleeding and spotting. As a postmenopausal woman, Im very concerned and now consulting physicians. I continue to have neurological issues and have consulted my doctors. Im not sure if vaccine relatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-25
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-28
- 2021-09-24
-
2021-11-21
Dose 3 — Moderna
-
2022-03-26
Survey response — 12 months, dose 2MedDRA: Neuralgia, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Persistent neurological pain in right hand and arm. · Healthcare visit (other): In person to my primary physicianMedDRA releases: 2024-11 · check-in free text available
-
2022-03-26
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-28
-
2022-10-01
Dose 4 — Moderna
- 2022-10-17
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-12-31
-
2023-04-01
Survey response — 6 months, dose 4MedDRA: Office visit, Self-medication, Vaccination site pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-01
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2023-04-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-04-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-04-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-04-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-04-03
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-21 | Moderna | No |
| 4 | 2022-10-01 | Moderna | No |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Initially I had mild headache and was really tired, but not today.
Systemic reaction (other): In addition to the rash on my neck, Im experiencing a persistent runny nose and occasional itchy eyes.
Systemic reaction (other): Runny nose and watery, itchy eyes seem to be only unusual problem. Rash cleared up with topical cortisone application.
Release 5 — day 14, dose 1
Symptoms: Im currently being treated for sciatica but not sure if its relevant to vaccine.
Release 5 — day 21, dose 1
Symptoms: Persistent nerve pain or sciatica
Release 8 — day 35, dose 2
Symptoms: Pain along right side and at place of injection.
Release 9 — 3 months, dose 2
Symptoms: Ive recently experienced occasional vaginal bleeding and spotting. As a postmenopausal woman, Im very concerned and now consulting physicians. I continue to have neurological issues and have consulted my doctors. Im not sure if vaccine relat
Release 11 — 12 months, dose 2
Symptoms: Persistent neurological pain in right hand and arm.
Healthcare visit (other): In person to my primary physician
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 | Injection site pain | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Postmenopausal haemorrhage | ✓ | ✓ | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Vaccination site pain | · | · | ✓ |
| SD | Vaginal haemorrhage | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release