5R5-18078-83146
2 vaccinations
7 coded responses
26 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 018 / MA
- Registered
- 2021-04-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-22
Registered in v-safe
-
2021-04-22
Dose 1 — Moderna
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
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2021-05-06
Survey response — day 14, dose 1MedDRA: Axillary pain, Fatigue, Injection site pain, Injection site pruritus, Oedema peripheral, Swelling — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Fri. night injection site was sore & itchy. Next morning arm pit on the side of the vaccine was swollen & sore. That afternoon developed a bump on my collarbone & bad fatigue. Sore injection site&fatigue have gone away. Swollen armpit & bump remain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — day 21, dose 1MedDRA: Arthralgia, Lymphadenopathy, Oedema peripheral — Feeling: Good · Be unable to do your normal daily activitiesFree text: Slight swelling in armpit persists & the lump on my collarbone is still there but smaller. My joints are more sensitive since the swelling in my armpit started, particularly at the site of my wrist surgery from 2 years ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Dose 2 — Moderna
- 2021-05-20
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2021-05-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-05-24
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush — Feeling: Good · Site: Pain · Joint painsFree text: Hot flashesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-05-26
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush — Feeling: GoodFree text: I'm still having hot flashes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Survey response — day 7, dose 2MedDRA: Hot flush — Feeling: GoodFree text: Hot flashesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-03
- 2021-06-11
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2021-06-18
Survey response — day 28, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Joint pain, primarily in my kneesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-24
- 2021-07-01
- 2021-08-19
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2021-11-18
Survey response — 6 months, dose 2MedDRA: Eczema, Rash pruritic — Feeling: Fair · 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: Eczema - first time occurrence. I'm being treated for an itchy rash that is popping up on various spots on my body. It moves around.MedDRA releases: 2024-11 · check-in free text available
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2021-11-18
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-19
Call successfulParticipant prefers to complete VAERS report online
- 2022-05-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-22 | Moderna | |
| 2 | 2021-05-20 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 8 — day 14, dose 1
Symptoms: Fri. night injection site was sore & itchy. Next morning arm pit on the side of the vaccine was swollen & sore. That afternoon developed a bump on my collarbone & bad fatigue. Sore injection site&fatigue have gone away. Swollen armpit & bump remain. cut off by CDC
Release 8 — day 21, dose 1
Symptoms: Slight swelling in armpit persists & the lump on my collarbone is still there but smaller. My joints are more sensitive since the swelling in my armpit started, particularly at the site of my wrist surgery from 2 years ago.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Hot flashes
Systemic reaction (other): I'm still having hot flashes.
Release 8 — day 7, dose 2
Systemic reaction (other): Hot flashes
Release 9 — day 28, dose 2
Symptoms: Joint pain, primarily in my knees
Release 10 — 6 months, dose 2
Symptoms: Eczema - first time occurrence. I'm being treated for an itchy rash that is popping up on various spots on my body. It moves around.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Eczema | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release