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
-
2021-02-11
Dose 1 — Moderna
-
2021-03-09
Registered in v-safe
-
2021-03-11
Dose 2 — Moderna
- 2021-03-11
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
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2021-04-08
Survey response — day 28, dose 2MedDRA: Blood glucose decreased, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe crook right neck. Low blood sugar Sat. Morning thru Wed. morning. ?ghtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-12
Survey response — 3 months, dose 2MedDRA: 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 consultationFree 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
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2021-06-12
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-22
Call successfulParticipant prefers to complete VAERS report online
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2021-10-23
Dose 3 — ModernaCo-administered: Flu
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Blood glucose increased, Chills, Fatigue, Pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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
- 2021-10-28
- 2021-10-29
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2021-11-03
Health check-in — day 7, dose 3Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-06
- 2021-11-13
- 2021-11-23
- 2021-12-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-10-23 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 7 — day 28, dose 2
Symptoms: Severe crook right neck. Low blood sugar Sat. Morning thru Wed. morning. ?ght
Release 9 — 3 months, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Blood glucose decreased | ✓ | ✓ | ✓ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Stiff leg syndrome | ✓ | ✓ | ✓ |
| SRO | Blood glucose increased | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release