6C7-17100-84283
5 vaccinations
9 coded responses
32 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 850 / AZ
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
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2021-01-23
Registered in v-safe
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-25
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-19
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2021-02-26
Dose 2 — Moderna
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2021-02-26
Survey response — day 0, dose 2MedDRA: Feeling abnormal — Feeling: Good · Site: PainFree text: Mild brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Vision blurred — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Short instances if blurry vision yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body achesFree text: Swollen gland or lymph node in neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Swollen and painful lymph nodes under arm, collar bone, and neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Neck pain, Oedema peripheral — Feeling: Good · Site: Pain · Muscle or body achesFree text: Swollen and painful lymph nodes under arm, collar bone, and neck. Better than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
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2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
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2021-05-28
Survey response — 3 months, dose 2MedDRA: Chest pain, Office visit, Vertigo, Vertigo positional — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Slight chest pains (obviously could be any number of things). Moderate positional vertigo. · Healthcare visit (other): Office visits- tests w/ cardiologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-29
Survey response — 6 months, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Continue to have intermittent mild to moderate swelling of lymph nodes in neck and under arms.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-29
Dose 3 — Moderna
- 2022-02-28
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2022-04-12
Dose 4 — Moderna
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2022-05-03
Survey response — day 21, dose 4MedDRA: Lethargy, Lymphadenopathy, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Side effects from fourth dose of vaccine, moderate to severe swelling of multiple lymph nodes (lasting over 2 weeks), moderate body aches, lethargy.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
- 2022-05-13
- 2022-05-17
- 2022-05-18
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2022-05-18
Callback requested for07:00pm et
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2022-05-18
Call successfulParticipant prefers to complete VAERS report online
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2022-05-24
Survey response — day 42, dose 4MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Mild to moderate headaches for past several months. Figured it could be due to so many different things, I haven't reported them before, but I rarely had headaches before these past 18 months, and now I have many every week.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-12
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2022-10-15
Dose 5 — Moderna
- 2023-04-12
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-12 | Moderna | No |
| 5 | 2022-10-15 | Moderna | No |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Mild brain fog
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Short instances if blurry vision yesterday
Systemic reaction (other): Swollen gland or lymph node in neck
Systemic reaction (other): Swollen and painful lymph nodes under arm, collar bone, and neck
Systemic reaction (other): Swollen and painful lymph nodes under arm, collar bone, and neck. Better than yesterday.
Release 8 — 3 months, dose 2
Symptoms: Slight chest pains (obviously could be any number of things). Moderate positional vertigo.
Healthcare visit (other): Office visits- tests w/ cardiologist
Release 9 — 6 months, dose 2
Symptoms: Continue to have intermittent mild to moderate swelling of lymph nodes in neck and under arms.
Release 11 — day 21, dose 4
Symptoms: Side effects from fourth dose of vaccine, moderate to severe swelling of multiple lymph nodes (lasting over 2 weeks), moderate body aches, lethargy.
Release 11 — day 42, dose 4
Symptoms: Mild to moderate headaches for past several months. Figured it could be due to so many different things, I haven't reported them before, but I rarely had headaches before these past 18 months, and now I have many every week.
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 | Chest pain | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SD | Vertigo positional | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release