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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

  1. 2021-03-29
    Registered in v-safe
  2. 2021-03-29
    Dose 1 — Moderna
  3. 2021-03-29
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Vision blurred — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Blurry vision
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  6. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  7. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-12
    Survey response — day 14, dose 1
    MedDRA: Joint range of motion decreased, Oropharyngeal pain — Feeling: Fair
    Free 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
  12. 2021-04-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-26
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-05-03
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-05-10
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-06-28
    Survey response — 3 months, dose 1
    MedDRA: 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 visit
    Free 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 r
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-28
    Report sent to call center — 3 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-07-02
  19. 2021-09-27
    Survey response — 6 months, dose 1
    MedDRA: 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 visit
    Free 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 prednisone
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-09-27
    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
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  21. 2021-09-28
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-29Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): Blurry vision

Release 7 — day 14, dose 1

2021-04-12

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

2021-06-28

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

2021-09-27

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event · · ✓
SDCellulitis ✓ ✓ ✓
SDFatigue · · ✓
SDJoint range of motion decreased ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDMuscular weakness · · ✓
SDMyositis · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDRash · · ✓
SROVision blurred ✓ ✓ ✓

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