5WL-23217-46665
4 vaccinations
5 coded responses
19 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 982 / WA
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-02-23
Dose 2 — Moderna
-
2021-03-13
Registered in v-safe
-
2021-03-13
Survey response — day 14, dose 2MedDRA: Chills, Headache, Injection site swelling, Lymphadenopathy, No reaction on previous exposure to drug, Oedema peripheral, Pain, Pyrexia — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: I had fever, chills, aches, headache swollen site, and swollen armpit glands after second shot, for about 24 hrs. First shot was no problem at all.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-27
- 2021-08-26
-
2021-10-25
Dose 3 — Moderna
-
2021-10-25
Survey response — day 0, dose 3MedDRA: Lymph node pain, Lymphadenopathy, Pyrexia, Sleep disorder — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Felt more feverish after 3rd shot. Significant swelling of armpit lymph nodes on side that got the shot; quite painful for over a week, interrupted my sleepMedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: GoodFree text: I got my shot weeks ago and had those symptoms for about 2 weeks but I am feeling ok nowMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-11
-
2022-04-08
Dose 4 — Moderna
-
2022-04-14
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Lymph swelling in armpitMedDRA releases: 2024-11 · check-in free text available
- 2022-04-15
- 2022-04-24
- 2022-05-01
- 2022-05-06
- 2022-05-13
- 2022-05-20
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2022-07-08
Survey response — 3 months, dose 4MedDRA: COVID-19, Office visit — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: I got Covid · Healthcare visit (other): Dr visitMedDRA releases: 2024-11 · check-in free text available
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2022-07-08
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-11
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 14, dose 2
Symptoms: I had fever, chills, aches, headache swollen site, and swollen armpit glands after second shot, for about 24 hrs. First shot was no problem at all.
Release 10 — day 0, dose 3
Systemic reaction (other): Felt more feverish after 3rd shot. Significant swelling of armpit lymph nodes on side that got the shot; quite painful for over a week, interrupted my sleep
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I got my shot weeks ago and had those symptoms for about 2 weeks but I am feeling ok now
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Lymph swelling in armpit
Release 12 — 3 months, dose 4
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 | Office visit | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | No reaction on previous exposure to drug | · | · | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ○ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release