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6TD-17949-35611

3 vaccinations 3 coded responses 20 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
606 / IL
Registered
2021-03-09
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Dose 1 — Moderna
  2. 2021-03-09
    Registered in v-safe
  3. 2021-03-11
    Dose 2 — Moderna
  4. 2021-03-11
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-08
    Survey response — day 28, dose 2
    MedDRA: Blood glucose decreased, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Severe crook right neck. Low blood sugar Sat. Morning thru Wed. morning. ?ght
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-12
    Survey response — 3 months, dose 2
    MedDRA: Joint stiffness, Joint swelling, Limb discomfort, Pain in extremity, Stiff leg syndrome — 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
    Free text: I awoke yesterday with pain and stiffness in my right arm which I am still experiencing today. Swelling in my ankles, swelling in my right thumb and stiffness in my legs and knees.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-12
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-06-22
    Call successful
    Participant prefers to complete VAERS report online
  18. 2021-10-23
    Dose 3 — Moderna
    Co-administered: Flu
  19. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Blood glucose increased, Chills, Fatigue, Pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Oct.23rd I received the booster shot. I felt chills, slight soreness, and extreme exhaustion. Then the next day it continued. My blood sugar registered Hi on yhe monitor for 2 days. Currently still runninghigh for me 169-180.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Diarrhea
    Adult check-in
  21. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Joint pains
    Adult check-in
  22. 2021-11-03
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activities
    Adult check-in
  23. 2021-11-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-11-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-11-23
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-12-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna
22021-03-11Moderna
32021-10-23Moderna Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 28, dose 2

2021-04-08

Symptoms: Severe crook right neck. Low blood sugar Sat. Morning thru Wed. morning. ?ght

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: I awoke yesterday with pain and stiffness in my right arm which I am still experiencing today. Swelling in my ankles, swelling in my right thumb and stiffness in my legs and knees.

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Oct.23rd I received the booster shot. I felt chills, slight soreness, and extreme exhaustion. Then the next day it continued. My blood sugar registered Hi on yhe monitor for 2 days. Currently still runninghigh for me 169-180.

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
SDBlood glucose decreased ✓ ✓ ✓
SDJoint stiffness ✓ ✓ ✓
SDJoint swelling ✓ ✓ ✓
SDLimb discomfort ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDStiff leg syndrome ✓ ✓ ✓
SROBlood glucose increased · · ✓
SROChills · · ✓
SROFatigue · · ✓
SROPain · · ✓

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