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654-17673-31378

1 vaccination 2 coded responses 5 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
801 / CO
Registered
2021-02-12
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-02-11
    Dose 1 — Moderna
  2. 2021-02-12
    Registered in v-safe
  3. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eyelid irritation, Injection site pain, Lymphadenopathy, Swelling — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Since shot was yesterday need to start from last night. Severe injection site pain last night. Morr moderate today but frozen water bottle on arm helps. This morning woke with seollen neck and gland under ear/jaw bone on left side. Last night eyelids felt like rocks were under them. Today that has disappeared.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-08-14
    Survey response — 6 months, dose 1
    MedDRA: Dizziness, Fatigue, Lymphadenopathy, Nausea — 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 visit
    Free text: It took weeks for me to move past the swollen glands and tiredness. More weeks to stop feeling sick to my stomack and dizzy.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-08-14
    Report sent to call center — 6 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-12-02
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Since shot was yesterday need to start from last night. Severe injection site pain last night. Morr moderate today but frozen water bottle on arm helps. This morning woke with seollen neck and gland under ear/jaw bone on left side. Last night eyelids felt like rocks were under them. Today that has disappeared.

Release 9 — 6 months, dose 1

2021-08-14

Symptoms: It took weeks for me to move past the swollen glands and tiredness. More weeks to stop feeling sick to my stomack and dizzy.

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

FieldPreferred term2021-092023-042024-11
SDDizziness ✓ · ✓
SDFatigue ✓ · ✓
SDLymphadenopathy ✓ · ✓
SDNausea ✓ · ✓
SROEyelid irritation ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release