6LW-25662-13598
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 974 / OR
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Registered in v-safe
-
2021-02-23
Dose 1 — Moderna
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
-
2021-03-11
Survey response — day 14, dose 1MedDRA: Immunisation reaction, Injection site erythema, Injection site pain, Injection site swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Covid arm -injection site got swollen, red and burning after 8 days from injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-16
-
2021-03-20
Dose 2 — Moderna
-
2021-03-20
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Injection site is soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
-
2021-04-10
Survey response — day 21, dose 2MedDRA: Ear pain, Throat irritation — Feeling: GoodFree text: Dont know if its related, but Ive had an earache and scratchy throat for several days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-24
- 2021-05-01
-
2021-06-19
Survey response — 3 months, dose 2MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: About two weeks after I got my shot I started having problems with my TMJ. I initially didnt think much of it and didnt related to the vaccine. It has continued to be a problem and Ive seen my dentist a couple time. · Healthcare visit (other): DentalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-19
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-21
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-20
- 2022-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-20 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 5 — day 14, dose 1
Symptoms: Covid arm -injection site got swollen, red and burning after 8 days from injection
Release 6 — day 0, dose 2
Systemic reaction (other): Injection site is sore
Release 7 — day 21, dose 2
Symptoms: Dont know if its related, but Ive had an earache and scratchy throat for several days.
Release 9 — 3 months, dose 2
Symptoms: About two weeks after I got my shot I started having problems with my TMJ. I initially didnt think much of it and didnt related to the vaccine. It has continued to be a problem and Ive seen my dentist a couple time.
Healthcare visit (other): Dental
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release