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
-
2021-02-03
Dose 1 — Moderna
-
2021-02-10
Registered in v-safe
-
2021-02-10
Survey response — day 7, dose 1MedDRA: Lymph node pain, Myalgia, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body achesFree 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
- 2021-02-18
- 2021-02-24
- 2021-03-03
-
2021-03-05
Dose 2 — Moderna
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
- 2021-03-11
- 2021-03-13
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-10
- 2021-04-16
- 2021-06-04
- 2021-09-03
-
2022-03-05
Survey response — 12 months, dose 2MedDRA: Blood pressure fluctuation, Blood pressure increased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Realized problem w/ blood pressure has been caused by second shot and then booster. Great fluctuations and riseMedDRA releases: 2024-11 · check-in free text available
-
2022-03-05
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-03-05
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-05 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — day 7, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Blood pressure fluctuation | · | · | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release