5HX-30921-48039
2 vaccinations
10 coded responses
22 check-ins
10 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 836 / ID
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-15
Dose 1 — Moderna
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2021-03-16
Registered in v-safe
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2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-21
- 2021-03-22
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2021-03-30
Survey response — day 14, dose 1MedDRA: Lymphadenopathy, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: My supraclavicular lymph nodes are swollen. Non tender right neck same side as shot. I have history of Metastatic thyroid cancer my doctor Ordered an ultrasound as an abundance of caution. The u/s was suspicious of cancer FNA revealed Reactive node · Healthcare visit (other): Ultrasound and biopsyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-06
Survey response — day 21, dose 1MedDRA: Lymphadenopathy, Respiratory disorder, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Upper respiratory. Swollen glands congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Dose 2 — Moderna
- 2021-04-12
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Lymphadenopathy, Oedema peripheral — Feeling: Poor · Fever · Muscle or body aches · Be unable to workFree text: Axillary swelling. Neck nodes swollen skin is red over my nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Lymphadenopathy — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My lymph nodes are still large and the skin over them is redMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · HeadacheFree text: Still have very swollen lymph nodes in chest armpit and neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: FairFree text: Swollen lymph nodes continueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-19
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: FairFree text: Swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
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2021-05-05
Survey response — day 21, dose 2MedDRA: Intermenstrual bleeding — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Ive had increased bleeding between periodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-12
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2021-05-19
Survey response — day 35, dose 2MedDRA: Vaginal haemorrhage — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Increased vaginal bleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-26
Survey response — day 42, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Increased vaginal bleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-12
- 2021-10-11
- 2021-11-08
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2021-12-03
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna |
Call center
4 call center cases
4 successful
1 wait over 3 months for a first call
Free text
Release 6 — day 14, dose 1
Symptoms: My supraclavicular lymph nodes are swollen. Non tender right neck same side as shot. I have history of Metastatic thyroid cancer my doctor Ordered an ultrasound as an abundance of caution. The u/s was suspicious of cancer FNA revealed Reactive node cut off by CDC
Healthcare visit (other): Ultrasound and biopsy
Release 7 — day 21, dose 1
Symptoms: Upper respiratory. Swollen glands congestion
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Axillary swelling. Neck nodes swollen skin is red over my nodes
Systemic reaction (other): My lymph nodes are still large and the skin over them is red
Systemic reaction (other): Still have very swollen lymph nodes in chest armpit and neck
Systemic reaction (other): Swollen lymph nodes continue
Release 7 — day 7, dose 2
Systemic reaction (other): Swollen lymph nodes
Release 8 — day 21, dose 2
Symptoms: Ive had increased bleeding between period
Release 8 — day 35, dose 2
Symptoms: Increased vaginal bleeding
Release 8 — day 42, dose 2
Symptoms: Increased vaginal bleeding
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory disorder | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Vaginal haemorrhage | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release