5J4-18490-37596
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 323 / FL
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-14
Dose 1 — Moderna
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2021-03-15
Registered in v-safe
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2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-03-17
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2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-20
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2021-03-21
Health check-in — day 7, dose 1Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2021-03-21
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-28
Survey response — day 14, dose 1MedDRA: Axillary pain, Lymphadenopathy, Office visit, Vaccination site erythema — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Last Saturday night (3/20) I began having pain in my arm pit of the vaccine arm. My lymph nodes swole and I developed a large red mark where I got the vaccine. Went to a walk in clinic the next day to get blood work done, normal, and got steroidsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-04
Survey response — day 21, dose 1MedDRA: Lymphadenopathy, Swelling — Feeling: GoodFree text: Lymph nodes swollen on left side of throat. Other swelling has gone down since taking steroids. No red mark at vaccination site. I feel WAY betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
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2021-04-12
Dose 2 — Moderna
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-19
- 2021-04-28
- 2021-05-03
- 2021-05-10
- 2021-05-19
- 2021-05-24
- 2021-07-12
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2021-10-11
Survey response — 6 months, dose 2MedDRA: Adverse reaction, Antinuclear antibody positive, Eczema, Joint swelling, Pre-existing disease, Urticaria — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I developed hives all over my body and swollen joints 9/24/21. This persisted for a few days. Got labs done and received a positive ANI result. Waiting on an appt w rheumatologist for more testing. I have had eczema symptoms before, but not like this · Healthcare visit (other): I just want to note I have no idea if this is because of the vaccine, but I had weird reaction to the vaccine so my current condition is important for your research!MedDRA releases: 2024-11 · check-in free text available
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2021-10-11
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-12
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2021-10-13
Call successfulParticipant prefers to complete VAERS report online
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2022-04-12
Survey response — 12 months, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: #NAME?MedDRA releases: 2024-11 · check-in free text available
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2022-04-12
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Moderna | |
| 2 | 2021-04-12 | Moderna |
Call center
4 call center cases
3 successful · 1 unsuccessful
Free text
Release 6 — day 14, dose 1
Symptoms: Last Saturday night (3/20) I began having pain in my arm pit of the vaccine arm. My lymph nodes swole and I developed a large red mark where I got the vaccine. Went to a walk in clinic the next day to get blood work done, normal, and got steroids
Release 6 — day 21, dose 1
Symptoms: Lymph nodes swollen on left side of throat. Other swelling has gone down since taking steroids. No red mark at vaccination site. I feel WAY better
Release 10 — 6 months, dose 2
Symptoms: I developed hives all over my body and swollen joints 9/24/21. This persisted for a few days. Got labs done and received a positive ANI result. Waiting on an appt w rheumatologist for more testing. I have had eczema symptoms before, but not like this cut off by CDC
Healthcare visit (other): I just want to note I have no idea if this is because of the vaccine, but I had weird reaction to the vaccine so my current condition is important for your research!
Release 11 — 12 months, dose 2
Symptoms: #NAME?
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 | Adverse reaction | · | · | ✓ |
| HCVO | Pre-existing disease | · | · | ✓ |
| SD | Antinuclear antibody positive | · | · | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Eczema | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Urticaria | · | · | ✓ |
| SD | Vaccination site erythema | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release