72K-21204-04240
4 vaccinations
6 coded responses
54 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 880 / NM
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
-
2021-01-18
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Nodule — Feeling: GoodFree text: On day 7 post vaccination in the evening after I had completed my v-safe for the day my injection site became itchy and I noticed a small hard dime sized knot/area of swelling right where I had received the shot. It lasted 2 days and is now better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-02-01
-
2021-02-06
Dose 2 — Moderna
-
2021-02-06
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Rhinorrhoea, Sneezing — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Sinus symptoms/runny nose/sneezingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-05-08
- 2021-08-07
-
2021-11-05
Dose 3 — Moderna
- 2021-11-05
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tirednessFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-11-10
- 2021-11-14
- 2021-11-19
- 2021-11-26
- 2021-12-03
-
2021-12-10
Survey response — day 35, dose 3MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Occasional joint pain that comes and goes. Did not have this beforehand.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-17
- 2022-02-04
- 2022-05-06
-
2022-10-21
Dose 4 — Moderna
- 2022-10-21
-
2022-10-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2022-10-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · DiarrheaAdult check-in
-
2022-10-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2022-10-25
- 2022-10-26
- 2022-10-27
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
-
2023-01-20
Survey response — 3 months, dose 4MedDRA: Pre-eclampsia, Premature delivery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationMedDRA releases: 2024-11
-
2023-01-20
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2023-01-24
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-10-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-20 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: On day 7 post vaccination in the evening after I had completed my v-safe for the day my injection site became itchy and I noticed a small hard dime sized knot/area of swelling right where I had received the shot. It lasted 2 days and is now better. cut off by CDC
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Sinus symptoms/runny nose/sneezing
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness
Release 10 — day 35, dose 3
Symptoms: Occasional joint pain that comes and goes. Did not have this beforehand.
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 | Arthralgia | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Nodule | ✓ | ✓ | ✓ |
| SD | Pre-eclampsia | · | · | ✓ |
| SD | Premature delivery | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release