5WE-16461-89423
4 vaccinations
8 coded responses
43 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 191 / PA
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-19
Dose 1 — Moderna
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2021-02-20
Registered in v-safe
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2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-02-22
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Headache, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
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2021-03-18
Dose 2 — Moderna
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2021-03-18
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain, Sensitive skin — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: My eyes hurt, and skin is super sensitiveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: My eyes still hurt when I look aroundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-03-23
- 2021-03-24
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2021-03-25
Survey response — day 7, dose 2MedDRA: Joint swelling, Peripheral swelling — Feeling: FairFree text: Ive had swollen feet and ankles for several days nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-10
- 2021-04-15
- 2021-04-22
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2021-05-01
Survey response — day 42, dose 2MedDRA: Amenorrhoea, Peripheral swelling — Feeling: FairFree text: My left foot continues to remain swollen. My menstrual cycle is totally off too, no possibility of being pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-17
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2021-09-16
Survey response — 6 months, dose 2MedDRA: Chest discomfort, Dyspnoea, Nasopharyngitis, Painful respiration — Feeling: Good · Be unable to do your normal daily activitiesFree text: after a recent cold, my chest remained extremely tight, making it difficult and painful to breathe deeply for several weeks.MedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Dose 3 — Moderna
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: 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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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling · Joint pains, Fatigue or tirednessAdult check-in
- 2021-11-11
- 2021-11-18
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-03
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2022-05-05
Survey response — 6 months, dose 3MedDRA: Hypovitaminosis, Weight increased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Vitamin deficiencies, weight gainMedDRA releases: 2024-11 · check-in free text available
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2022-05-05
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-06
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2022-09-09
Dose 4 — Moderna
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2022-09-12
Survey response — days 1–6 daily, dose 4MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Warmth of skin at injection siteMedDRA releases: 2024-11 · check-in free text available
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2022-09-16
Survey response — day 7, dose 4MedDRA: Immunisation reaction, Injection site discolouration, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth, Medical counselling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Experienced "covid arm" with a large injection site reaction- red/purple irregular shaped patch, extreme warmth in the patch, and elevated pain only inside the patch area. Extremely itchy. · Healthcare visit (other): Spoke with pharmacist that did injectionMedDRA releases: 2024-11 · check-in free text available
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2022-09-16
Report sent to call center — day 7, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-09-19
- 2022-09-19
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2022-09-19
Call successfulDoes not wish to fill out VAERS report
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2022-09-19
Call successfulCompleted over the phone
- 2022-09-25
- 2022-10-02
- 2022-10-16
- 2022-10-21
- 2022-12-11
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-18 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-09-09 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): My eyes hurt, and skin is super sensitive
Systemic reaction (other): My eyes still hurt when I look around
Release 6 — day 7, dose 2
Systemic reaction (other): Ive had swollen feet and ankles for several days now
Release 8 — day 42, dose 2
Symptoms: My left foot continues to remain swollen. My menstrual cycle is totally off too, no possibility of being pregnant.
Release 9 — 6 months, dose 2
Symptoms: after a recent cold, my chest remained extremely tight, making it difficult and painful to breathe deeply for several weeks.
Release 11 — 6 months, dose 3
Symptoms: Vitamin deficiencies, weight gain
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Warmth of skin at injection site
Release 12 — day 7, dose 4
Systemic reaction (other): Experienced "covid arm" with a large injection site reaction- red/purple irregular shaped patch, extreme warmth in the patch, and elevated pain only inside the patch area. Extremely itchy.
Healthcare visit (other): Spoke with pharmacist that did injection
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 | Medical counselling | · | · | ✓ |
| SD | Amenorrhoea | ✓ | ✓ | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Hypovitaminosis | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Painful respiration | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Weight increased | · | · | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | · | · | ✓ |
| SRO | Injection site discolouration | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release