6PC-25310-55395
5 vaccinations
5 coded responses
44 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 220 / VA
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
-
2021-01-24
Health check-in — day 7, dose 1Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-01-30
Survey response — day 14, dose 1MedDRA: Medical counselling, Pruritus, Skin reaction — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My arm got red and itchy one week from receiving my moderna shot. The itching lasted about 24 hours. The red area has been fading all week and will soon be gone. My husband had the same reaction but more mild. On phone Dr. called it covid arm. · Healthcare visit (other): Phone callMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-06
- 2021-02-13
-
2021-02-16
Dose 2 — Moderna
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache, Injection site erythema, Injection site swelling, Pain in extremity, Pruritus, Pyrexia — Feeling: Good · Site: Itching · Be unable to do your normal daily activitiesFree text: On 2/17/21 had sore arm 2/18/21 ha fever, headache, sore arm, itching, red area around shot, mild fatigue, swlling around shot. All almost gone today 2/20/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
-
2021-03-23
Survey response — day 35, dose 2MedDRA: Abdominal discomfort, Fibromyalgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Upset stomach and fibromyalgiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-05-18
-
2021-05-29
Call successfulParticipant prefers to complete VAERS report online
- 2021-08-18
-
2021-10-25
Dose 3 — Moderna
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · HeadacheAdult check-in
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Fatigue or tirednessAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · HeadacheAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-09
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-04
Dose 4 — Moderna
- 2022-04-18
-
2022-04-25
Survey response — day 21, dose 4MedDRA: Acupuncture, Arthritis, Fibromyalgia, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Arthritis and fibromyalgia not related to COVID · Healthcare visit (other): Physical therapy and accupunctureMedDRA releases: 2024-11 · check-in free text available
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2022-04-25
Report sent to call center — day 21, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-04-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-07-04
-
2022-09-30
Dose 5 — Moderna
-
2022-10-03
Survey response — 6 months, dose 4MedDRA: Asthma, Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Asthma flare · Healthcare visit (other): AllergistMedDRA releases: 2024-11 · check-in free text available
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2022-10-03
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-04
-
2022-10-05
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2022-10-06
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-12-30
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
| 5 | 2022-09-30 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 3 — day 14, dose 1
Symptoms: My arm got red and itchy one week from receiving my moderna shot. The itching lasted about 24 hours. The red area has been fading all week and will soon be gone. My husband had the same reaction but more mild. On phone Dr. called it covid arm.
Healthcare visit (other): Phone call
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): On 2/17/21 had sore arm 2/18/21 ha fever, headache, sore arm, itching, red area around shot, mild fatigue, swlling around shot. All almost gone today 2/20/21
Release 6 — day 35, dose 2
Symptoms: Upset stomach and fibromyalgia
Release 11 — day 21, dose 4
Symptoms: Arthritis and fibromyalgia not related to COVID
Healthcare visit (other): Physical therapy and accupuncture
Release 12 — 6 months, dose 4
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 | Acupuncture | · | · | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Fibromyalgia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Skin reaction | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release