6YL-15314-81063
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 410 / KY
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
-
2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-04
-
2021-02-09
Dose 2 — Moderna
- 2021-02-16
- 2021-02-24
-
2021-03-02
Survey response — day 21, dose 2MedDRA: Injection site pain, Pain in extremity — Feeling: GoodFree text: SoreArm when the vaccination was given again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 28, dose 2MedDRA: Injection site pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore arm and shoulder on the site of the injection. · Healthcare visit (other): Chiropractor and cuppingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-16
Survey response — day 35, dose 2MedDRA: Arthralgia, Lymphadenopathy, Pain in extremity — Feeling: GoodFree text: Sore arm, shoulder, swollen lymph nodes in side that received injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
-
2021-05-17
Survey response — 3 months, dose 2MedDRA: Arthralgia, C-reactive protein increased, Chills, Fatigue, Fibrin D dimer increased, Malaise, Neck pain, Night sweats, Pain in extremity, Serum ferritin increased, Swelling — Feeling: Fair · 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 visitFree text: Elevated d-diner, ferritin and Reactive protein. Arm, neck and shoulder have been swollen and very sore for past 6 weeks. Started having night sweats, child, fatigue and malaise. Doctor put me on a burst of steroids.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-10
- 2021-12-10
-
2021-12-13
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 4 — day 21, dose 2
Symptoms: SoreArm when the vaccination was given again.
Release 5 — day 28, dose 2
Symptoms: Sore arm and shoulder on the site of the injection.
Healthcare visit (other): Chiropractor and cupping
Release 5 — day 35, dose 2
Symptoms: Sore arm, shoulder, swollen lymph nodes in side that received injection.
Release 8 — 3 months, dose 2
Symptoms: Elevated d-diner, ferritin and Reactive protein. Arm, neck and shoulder have been swollen and very sore for past 6 weeks. Started having night sweats, child, fatigue and malaise. Doctor put me on a burst of steroids.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | C-reactive protein increased | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Fibrin D dimer increased | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Night sweats | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Serum ferritin increased | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release