644-17535-03450
3 vaccinations
6 coded responses
9 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 527 / IA
- Registered
- 2021-11-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-05
Dose 1 — Moderna
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2021-03-12
Dose 2 — Moderna
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2021-11-24
Registered in v-safe
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2021-11-24
Dose 3 — Pfizer-BioNTech
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2021-11-24
Survey response — day 0, dose 3MedDRA: Feeling hot, Lip pruritus, Lymphatic disorder, Nasal pruritus — Feeling: GoodFree text: Covid after vaccine notes 11 24 2021 Most stuff is like momentary & dwindling but not always lingering Warmth surge top of forehead Itchy sensation around lip & nose area--lasted quite a bit Lymphatic noticeable sensations & twinges Temporary mini eMedDRA releases: 2024-11 · check-in free text available
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2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Headache, Hypersomnia, Injection site pain, Neck pain — Feeling: Fair · Headache, Joint painsFree text: Covid booster day2 notes No big pain at injection site Right elbow and both shoulders had some mild pain off & on Energy level was pretty good...slept a little more than normal Some mild head & neck pain Covid booster day3 notes Right elbow stillMedDRA releases: 2024-11 · check-in free text available
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2021-11-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains, Fatigue or tirednessFree text: Yesterday and part of today the left side of my neck from my ear to collarbone was achy and not feeling right. Sometimes a little headache went with it. Left shoulder, left hip and right elbow sometimes achy also.Adult check-in · check-in free text available
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2021-11-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-11-30
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Medical counselling, Pain, Pruritus, Skin reaction, Skin warm, Swelling — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Allergy tests today. Unusual reaction. Dr after hours. Extended itching swelling redness & achiness in the test area. Rx steroid ointment & extra allergy meds. Wondering if it's spreading. Warm to touch. · Healthcare visit (other): After hours personal phone call for recommendationMedDRA releases: 2024-11 · check-in free text available
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2021-11-30
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2021-12-01
Survey response — day 7, dose 3MedDRA: Fatigue, Lymphadenopathy, Pain, Pre-existing disease — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Left collarbone lymph swelling on waking. Might've been from allergy tests or not. Some rash was left from allergy tests. Felt really tired & achy after MRI. Took a nap.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-01
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2021-12-02
Call successfulDoes not wish to fill out VAERS report
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2021-12-08
Survey response — day 14, dose 3MedDRA: Arthropathy, Fatigue, Lymphadenopathy, Tension — Feeling: FairFree text: Lymphatic swelling at left collarbone lasted 3 or 4 days going down a little each day. Right elbow has issues. Left shoulder, collarbone & neck still tense. Haven't made it to the chiropractor yet to see if that helps. More tired than usual.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-17
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2022-01-06
Survey response — day 42, dose 3MedDRA: Pain, Swelling, Vaccine positive rechallenge — Feeling: FairFree text: The clavicular swelling is back again today. Might be worse than the first time 4 weeks after 1st Moderna vaccine. Still comes and goes and took a little longer break...maybe 10 days? More soreness around the area even when no swelling.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | No |
| 2 | 2021-03-12 | Moderna | No |
| 3 | 2021-11-24 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): Covid after vaccine notes 11 24 2021 Most stuff is like momentary & dwindling but not always lingering Warmth surge top of forehead Itchy sensation around lip & nose area--lasted quite a bit Lymphatic noticeable sensations & twinges Temporary mini e cut off by CDC
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Covid booster day2 notes No big pain at injection site Right elbow and both shoulders had some mild pain off & on Energy level was pretty good...slept a little more than normal Some mild head & neck pain Covid booster day3 notes Right elbow still cut off by CDC
Systemic reaction (other): Allergy tests today. Unusual reaction. Dr after hours. Extended itching swelling redness & achiness in the test area. Rx steroid ointment & extra allergy meds. Wondering if it's spreading. Warm to touch.
Healthcare visit (other): After hours personal phone call for recommendation
Release 10 — day 7, dose 3
Systemic reaction (other): Left collarbone lymph swelling on waking. Might've been from allergy tests or not. Some rash was left from allergy tests. Felt really tired & achy after MRI. Took a nap.
Release 10 — day 14, dose 3
Symptoms: Lymphatic swelling at left collarbone lasted 3 or 4 days going down a little each day. Right elbow has issues. Left shoulder, collarbone & neck still tense. Haven't made it to the chiropractor yet to see if that helps. More tired than usual.
Release 10 — day 42, dose 3
Symptoms: The clavicular swelling is back again today. Might be worse than the first time 4 weeks after 1st Moderna vaccine. Still comes and goes and took a little longer break...maybe 10 days? More soreness around the area even when no swelling.
Release 12 — days 1–6 daily, dose 3
Systemic reaction (other): Yesterday and part of today the left side of my neck from my ear to collarbone was achy and not feeling right. Sometimes a little headache went with it. Left shoulder, left hip and right elbow sometimes achy also.
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 | Arthropathy | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SD | Tension | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hypersomnia | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Lip pruritus | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Lymphatic disorder | · | · | ✓ |
| SRO | Medical counselling | · | · | ✓ |
| SRO | Nasal pruritus | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Skin reaction | · | · | ✓ |
| SRO | Skin warm | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release