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5FG-19209-70896

2 vaccinations 13 coded responses 22 check-ins 13 free-text entries 4 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
342 / FL
Registered
2021-03-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Registered in v-safe
  2. 2021-03-23
    Dose 1 — Moderna
  3. 2021-03-23
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swollen lymph
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Swollwn lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-30
    Survey response — day 7, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-13
    Survey response — day 21, dose 1
    MedDRA: Blister, Infection, Lymphadenopathy — Feeling: Fair
    Free text: Several small infections on my body. Blistery in a strange way- not a normal thing for me. Still some swollen lymph.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-20
    Dose 2 — Moderna
  13. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-04-27
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-05-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-13
    Survey response — day 21, dose 2
    MedDRA: Infection, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Several unusual infections requiring a dr & antibiotics. Weird things that are abnormal for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-13
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-05-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-03
    Survey response — day 42, dose 2
    MedDRA: Skin infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: 5th skin infection since I got my first shot- 4th round of antibiotics.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-06-03
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-07-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-19
    Survey response — 6 months, dose 2
    MedDRA: Pulmonary embolism, Thrombosis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Blood clot/PE
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-10-19
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  28. 2021-10-21
  29. 2021-10-26
  30. 2021-10-26
    Call successful
    Participant prefers to complete VAERS report online
  31. 2022-04-20
    Survey response — 12 months, dose 2
    MedDRA: Carditis, Office visit, Pericardial effusion, Pulmonary embolism — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Symptoms: PE and heart inflammation/effusion · Healthcare visit (other): Pulmonologist and extra cardiology appts/costs
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-04-20
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  33. 2022-04-21

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Moderna
22021-04-20Moderna

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-23

Systemic reaction (other): Dizziness

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Swollen lymph

2021-03-26

Systemic reaction (other): Swollen lymph nodes

2021-03-27

Systemic reaction (other): Swollen lymph nodes

2021-03-28

Systemic reaction (other): Swollen lymph nodes

2021-03-29

Systemic reaction (other): Swollwn lymph nodes

Release 6 — day 7, dose 1

2021-03-30

Systemic reaction (other): Swollen lymph nodes

Release 7 — day 21, dose 1

2021-04-13

Symptoms: Several small infections on my body. Blistery in a strange way- not a normal thing for me. Still some swollen lymph.

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Swollen lymph nodes

Release 8 — day 21, dose 2

2021-05-13

Symptoms: Several unusual infections requiring a dr & antibiotics. Weird things that are abnormal for me.

Release 8 — day 42, dose 2

2021-06-03

Symptoms: 5th skin infection since I got my first shot- 4th round of antibiotics.

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Blood clot/PE

Release 11 — 12 months, dose 2

2022-04-20

Symptoms: PE and heart inflammation/effusion
Healthcare visit (other): Pulmonologist and extra cardiology appts/costs

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
HCVOOffice visit · · ✓
SDBlister ✓ ✓ ✓
SDCarditis · · ✓
SDInfection ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPericardial effusion · · ✓
SDPulmonary embolism · · ✓
SDSkin infection ✓ ✓ ✓
SDThrombosis · · ✓
SRODizziness ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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

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