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
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2021-02-11
Dose 1 — Moderna
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2021-02-12
Registered in v-safe
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Eyelid irritation, Injection site pain, Lymphadenopathy, Swelling — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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
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2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-08-14
Survey response — 6 months, dose 1MedDRA: 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 visitFree 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
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2021-08-14
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-12-02
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Dizziness | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Lymphadenopathy | ✓ | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SRO | Eyelid irritation | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release