6CB-24154-52453
1 vaccination
4 coded responses
15 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 617 / IL
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Registered in v-safe
-
2021-03-29
Dose 1 — Moderna
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2021-03-29
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Vision blurred — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Blurry visionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
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2021-04-12
Survey response — day 14, dose 1MedDRA: Joint range of motion decreased, Oropharyngeal pain — Feeling: FairFree text: Left jaw has lost range of motion Sore throat (my kids are congested too so could be a cold or allergies)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
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2021-06-28
Survey response — 3 months, dose 1MedDRA: Cellulitis, Lymphadenopathy, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Swollen forearms, cellulitis, swollen lymph node by right collar bone (both vaccine injections were in left arm). I have had tons of blood work, X-rays, chest CT with contrast to rule out PE, ultrasound of neck. Awaiting biopsy of leg, referral to rMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-28
Report sent to call center — 3 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-02
-
2021-09-27
Survey response — 6 months, dose 1MedDRA: Fatigue, Joint range of motion decreased, Muscular weakness, Myositis, Rash, Unevaluable event — Feeling: Poor · 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: Symptoms: Muscle inflammation and weakness, loss of range of motion in hands, fatigue, rash · Healthcare visit (other): MRI, lots of blood work, methotrexate, 80 mg daily prednisoneMedDRA releases: 2024-11 · check-in free text available
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2021-09-27
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-09-28
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Blurry vision
Release 7 — day 14, dose 1
Symptoms: Left jaw has lost range of motion Sore throat (my kids are congested too so could be a cold or allergies)
Release 9 — 3 months, dose 1
Symptoms: Swollen forearms, cellulitis, swollen lymph node by right collar bone (both vaccine injections were in left arm). I have had tons of blood work, X-rays, chest CT with contrast to rule out PE, ultrasound of neck. Awaiting biopsy of leg, referral to r cut off by CDC
Release 9 — 6 months, dose 1
Symptoms: Muscle inflammation and weakness, loss of range of motion in hands, fatigue, rash
Healthcare visit (other): MRI, lots of blood work, methotrexate, 80 mg daily prednisone
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 | Unevaluable event | · | · | ✓ |
| SD | Cellulitis | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Myositis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release