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588-10094-47390

2 vaccinations 3 coded responses 15 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
215 / MD
Registered
2021-02-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Dose 1 — Moderna
  2. 2021-02-10
    Registered in v-safe
  3. 2021-02-10
    Survey response — day 7, dose 1
    MedDRA: Lymph node pain, Myalgia, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches
    Free text: Extreme itching and muscle (lymph area) soreness on left side - started yesterday- a full week after injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-03
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-05
    Dose 2 — Moderna
  8. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest discomfort, Chills, Diarrhoea, Dyspnoea, Feeling cold, Feeling hot, Pain, Pain of skin, Productive cough — Feeling: Good · Site: Pain, Redness, Swelling · Be unable to do your normal daily activities
    Free text: Day after shot was wicked. Hot and cold chills extreme. EVERYTHING hurt, even my hair. Shortness of breath, chest tight, diarrhea, all night and all day Saturday. Symptoms lessened Sunday except diarrhea. Chest tightness left but had phlegm that I coughed up until Monday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-02
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-04-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-16
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-06-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-03
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  18. 2022-03-05
    Survey response — 12 months, dose 2
    MedDRA: Blood pressure fluctuation, Blood pressure increased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Realized problem w/ blood pressure has been caused by second shot and then booster. Great fluctuations and rise
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-03-05
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  20. 2022-03-05
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Moderna
22021-03-05Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): Extreme itching and muscle (lymph area) soreness on left side - started yesterday- a full week after injection.

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): Day after shot was wicked. Hot and cold chills extreme. EVERYTHING hurt, even my hair. Shortness of breath, chest tight, diarrhea, all night and all day Saturday. Symptoms lessened Sunday except diarrhea. Chest tightness left but had phlegm that I coughed up until Monday.

Release 11 — 12 months, dose 2

2022-03-05

Symptoms: Realized problem w/ blood pressure has been caused by second shot and then booster. Great fluctuations and rise

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
SDBlood pressure fluctuation · · ✓
SDBlood pressure increased · · ✓
SROChest discomfort ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain of skin ✓ ✓ ✓
SROProductive cough ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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