5CT-42501-35163
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 074 / NJ
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Dose 1 — Moderna
-
2021-01-05
Registered in v-safe
-
2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint painsAdult check-in
- 2021-01-07
- 2021-01-08
- 2021-01-09
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2021-01-25
Survey response — day 21, dose 1MedDRA: Headache, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Lymph node pain, Lymphadenopathy, SARS-CoV-2 test — Feeling: Poor · Be unable to workFree text: Day 7 swollen painful lymph, Day 11 swollen hard, red, warm vaccination site, day 21 sinus issues headache, just left covid testing site results in 24hrsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
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2021-02-05
Dose 2 — Moderna
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2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: HeartburnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Dyspepsia, Erythema, Lymph node pain, Pain, Pruritus, Pyrexia, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Called dr yesterday told to take antihistamine continually for 3-5 day. 6hrs after injection fevers began and ran to 102 degrees, heartburn, lasting 36hrs after injection. Swelling, redness, pain, itching still present from day after injection. Lymph in injection armpit sore today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · NoneAdult check-in
- 2021-02-11
- 2021-02-12
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2021-02-21
Survey response — day 14, dose 2MedDRA: Epistaxis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Bloody Noses. Dr has prescribed bloodwork that I had done Wednesday February 17th now awaiting resultsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-26
Survey response — day 21, dose 2MedDRA: Injection site reaction — Feeling: GoodFree text: Weird sensation in injection site on and off for 2 days .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-12
- 2021-03-19
-
2021-08-11
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-02-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 2 — day 21, dose 1
Symptoms: Day 7 swollen painful lymph, Day 11 swollen hard, red, warm vaccination site, day 21 sinus issues headache, just left covid testing site results in 24hrs
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Heartburn
Systemic reaction (other): Called dr yesterday told to take antihistamine continually for 3-5 day. 6hrs after injection fevers began and ran to 102 degrees, heartburn, lasting 36hrs after injection. Swelling, redness, pain, itching still present from day after injection. Lymph in injection armpit sore today.
Release 4 — day 14, dose 2
Symptoms: Bloody Noses. Dr has prescribed bloodwork that I had done Wednesday February 17th now awaiting results
Release 4 — day 21, dose 2
Symptoms: Weird sensation in injection site on and off for 2 days .
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 | Epistaxis | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site induration | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release