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6ML-21152-58291

5 vaccinations 7 coded responses 41 check-ins 7 free-text entries 4 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
117 / NY
Registered
2021-02-04
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-30
    Dose 1 — Moderna
  2. 2021-02-04
    Registered in v-safe
  3. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-14
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Self-medication — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Arm itching, redness, warmth, and swelling at the site of the injection. This started 13 days after my injection. It has not completely gone away. Still taking Benadryl, applying Hydrocortisone cream, and ice to the site. · Healthcare visit (other): I am a nurse. I took Benadryl and applied Hydrocortisone cream and ice on the arm at the injection site. It is still itching for the last 3 days. If it continues I will go to Urgent care.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-14
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-02-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-28
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-01
    Dose 2 — Moderna
  10. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  13. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  16. 2021-03-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-22
    Survey response — day 21, dose 2
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Exhaustion. Im very tired. It comes and goes. Some days it is severe and then goes away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-02
    Survey response — 3 months, dose 2
    MedDRA: Angioedema, Dyspepsia, Gastrooesophageal reflux disease, Hypersensitivity, Intestinal obstruction, Office visit, Pain in extremity, Peripheral swelling — Feeling: Good · Be unable to work, 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
    Free text: Symptoms: New Severe Allergic Reaction to foods I was never allergic to. New Unknown gout like swelling and pain to both hands. New digestive problems - severe gastric reflux & temporary bowel obstruction. · Healthcare visit (other): The Allergic Reaction, including angioedema, was so severe that I should have gone to ER, but I didnt for fear of exposure to COVID patients. It was so severe I was given steroids (Injection and oral), Benadryl, and Pepcid.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-02
    Report sent to call center — 3 months, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-08-02
  25. 2021-08-04
    Call successful
    Participant prefers to complete VAERS report online
  26. 2021-09-01
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-05
    Dose 3 — Moderna
  28. 2021-12-22
    Survey response — day 42, dose 3
    MedDRA: Arthralgia, Fatigue, Trigger finger — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Joint pain in shoulders, hands, toes. Trigger finger in left thumb. Fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-12-22
    Report sent to call center — day 42, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  30. 2021-12-23
  31. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-05-08
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-05-20
    Dose 4 — Pfizer-BioNTech
  34. 2022-05-20
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-05-21
    Survey response — days 1–6 daily, dose 4
    MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling
    Free text: No.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-05-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in
  37. 2022-05-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  38. 2022-05-24
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen lymph nodes in the armpit of the same side as the injection arm.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-05-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  40. 2022-05-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  41. 2022-05-27
    Health check-in — day 7, dose 4
    Feeling: Good · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  42. 2022-06-05
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-06-10
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-06-17
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-06-24
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-07-01
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-08-19
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-09-20
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  49. 2022-10-22
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  50. 2022-10-25
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  51. 2022-11-01
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  52. 2022-12-20
    Survey response — 3 months, dose 5
    MedDRA: Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Wheezing
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-12-20
    Report sent to call center — 3 months, dose 5
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  54. 2022-12-21
  55. 2022-12-21
  56. 2023-03-21
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-30Moderna
22021-03-01Moderna
32021-11-05Moderna No
42022-05-20Pfizer-BioNTech No
52022-09-20Pfizer-BioNTech Flu

Call center

4 call center cases

2 successful · 2 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-14

Symptoms: Arm itching, redness, warmth, and swelling at the site of the injection. This started 13 days after my injection. It has not completely gone away. Still taking Benadryl, applying Hydrocortisone cream, and ice to the site.
Healthcare visit (other): I am a nurse. I took Benadryl and applied Hydrocortisone cream and ice on the arm at the injection site. It is still itching for the last 3 days. If it continues I will go to Urgent care.

Release 6 — day 21, dose 2

2021-03-22

Symptoms: Exhaustion. Im very tired. It comes and goes. Some days it is severe and then goes away.

Release 8 — 3 months, dose 2

2021-06-02

Symptoms: New Severe Allergic Reaction to foods I was never allergic to. New Unknown gout like swelling and pain to both hands. New digestive problems - severe gastric reflux & temporary bowel obstruction.
Healthcare visit (other): The Allergic Reaction, including angioedema, was so severe that I should have gone to ER, but I didnt for fear of exposure to COVID patients. It was so severe I was given steroids (Injection and oral), Benadryl, and Pepcid.

Release 10 — day 42, dose 3

2021-12-22

Symptoms: Joint pain in shoulders, hands, toes. Trigger finger in left thumb. Fatigue.

Release 11 — days 1–6 daily, dose 4

2022-05-21

Systemic reaction (other): No.

2022-05-24

Systemic reaction (other): Swollen lymph nodes in the armpit of the same side as the injection arm.

Release 12 — 3 months, dose 5

2022-12-20

Symptoms: Wheezing

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
HCVOAngioedema ✓ ✓ ✓
HCVOHypersensitivity ✓ ✓ ✓
HCVOInjection site pruritus ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
HCVOSelf-medication ✓ ✓ ✓
SDArthralgia · · ✓
SDDyspepsia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGastrooesophageal reflux disease ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDIntestinal obstruction ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDTrigger finger · · ✓
SDWheezing · · ✓
SROLymphadenopathy · · ✓
SRONo adverse event · · ✓

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

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