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65Z-47890-91418

2 vaccinations 15 coded responses 23 check-ins 15 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
600 / IL
Registered
2021-03-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-05
    Dose 1 — Moderna
  2. 2021-03-07
    Registered in v-safe
  3. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: A dark spot appeared on my chest.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Skin discolouration — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Still have the reddish brownish spot on my chest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash — Feeling: Good · Site: Pain, Itching
    Free text: Reddish/brownish spot on my chest is fading
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash — Feeling: Good
    Free text: Reddish brownish spot on chest is going away but is still there.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Good
    Free text: Still have reddish brownish spot on my chest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-12
    Survey response — day 7, dose 1
    MedDRA: Skin discolouration — Feeling: Good
    Free text: Still have reddish brownish spot on my chest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-19
    Survey response — day 14, dose 1
    MedDRA: Chills, Erythema, Medical counselling, Pain in extremity, Pruritus, Skin warm — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Developed a giant red circle on my arm 8 days after injection. It was hot, red, very itchy, and it hurt too. At night I would get the chills but no fever. · Healthcare visit (other): Went to ask the pharmacist if it was normal and she said yes. Did not examine me though.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-19
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-03-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-02
    Dose 2 — Moderna
  13. 2021-04-02
    Health check-in — day 0, dose 2
    Feeling: Good · Headache
    Adult check-in
  14. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain — Feeling: Good
    Free text: My armpit hurts in the arm I received the vaccine. It hurt yesterday too but didnt think to report it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain — Feeling: Good
    Free text: My armpit in the arm that received the shot is sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Adult check-in
  19. 2021-04-09
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness
    Free text: May have a sore in my mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-23
    Survey response — day 21, dose 2
    MedDRA: Burning sensation, Pain in extremity, Pruritus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: 2 weeks & 4 days after my second vaccine dose I came down with an incredibly painful itchiness in both my arms, chest, & breasts. Started on 4/20 in afternoon. 4 days later its starting to feel better. Left arm has a burn itch now. (First dose arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-30
    Survey response — day 28, dose 2
    MedDRA: Feeling cold, Pruritus — Feeling: Good
    Free text: Im still feeling itchiness in my arms & chest. My left arm feels like it has menthol on it. That arm was the arm I got the first dose. Also can be very tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-07
    Survey response — day 35, dose 2
    MedDRA: Paraesthesia, Pruritus — Feeling: Good
    Free text: My left arm still gets itchy and tingly from my first dose. (My second dose was in my right arm). My chest still gets itchy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-16
    Survey response — day 42, dose 2
    MedDRA: Headache, Pain in extremity — Feeling: Good
    Free text: Headaches. Arm from first shot still bothers me on and off.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-07-02
    Survey response — 3 months, dose 2
    MedDRA: Chest discomfort, Heavy menstrual bleeding, Limb discomfort, Menstrual disorder, Muscle spasms — Feeling: Good · Be unable to do your normal daily activities
    Free text: My arms and chest sometimes feel tight. My menstrual cycle is altered as well. More cramps, heavier periods.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-10-01
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-29
    Call successful
    Participant prefers to complete VAERS report online
  28. 2022-04-02
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna
22021-04-02Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): A dark spot appeared on my chest.

2021-03-08

Systemic reaction (other): Still have the reddish brownish spot on my chest

2021-03-09

Systemic reaction (other): Reddish/brownish spot on my chest is fading

2021-03-10

Systemic reaction (other): Reddish brownish spot on chest is going away but is still there.

2021-03-11

Systemic reaction (other): Still have reddish brownish spot on my chest

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): Still have reddish brownish spot on my chest

Release 6 — day 14, dose 1

2021-03-19

Symptoms: Developed a giant red circle on my arm 8 days after injection. It was hot, red, very itchy, and it hurt too. At night I would get the chills but no fever.
Healthcare visit (other): Went to ask the pharmacist if it was normal and she said yes. Did not examine me though.

Release 7 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): My armpit hurts in the arm I received the vaccine. It hurt yesterday too but didnt think to report it

2021-04-06

Systemic reaction (other): My armpit in the arm that received the shot is sore

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): May have a sore in my mouth

Release 7 — day 21, dose 2

2021-04-23

Symptoms: 2 weeks & 4 days after my second vaccine dose I came down with an incredibly painful itchiness in both my arms, chest, & breasts. Started on 4/20 in afternoon. 4 days later its starting to feel better. Left arm has a burn itch now. (First dose arm

Release 8 — day 28, dose 2

2021-04-30

Symptoms: Im still feeling itchiness in my arms & chest. My left arm feels like it has menthol on it. That arm was the arm I got the first dose. Also can be very tired

Release 8 — day 35, dose 2

2021-05-07

Symptoms: My left arm still gets itchy and tingly from my first dose. (My second dose was in my right arm). My chest still gets itchy

Release 8 — day 42, dose 2

2021-05-16

Symptoms: Headaches. Arm from first shot still bothers me on and off.

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: My arms and chest sometimes feel tight. My menstrual cycle is altered as well. More cramps, heavier periods.

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
HCVOMedical counselling ✓ ✓ ✓
SDBurning sensation ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDFeeling cold ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHeavy menstrual bleeding ✓ ✓ ✓
SDLimb discomfort ✓ ✓ ✓
SDMenstrual disorder ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDSkin warm ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSkin discolouration ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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