7EN-84620-11957
2 vaccinations
8 coded responses
13 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 210 / MD
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-28
Dose 1 — Moderna
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2020-12-29
Registered in v-safe
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2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Injection site swelling — Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tirednessFree text: Swelling around the injection site that wasn't there yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Abnormal dreams — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessFree text: Vivid dreamsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Nasal discomfort — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Burning nose sensationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Irritability — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: IrritabilityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Irritability — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: IrritabilityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-05
Survey response — day 7, dose 1MedDRA: Injection site pruritus, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: Swelling and itchy returned today at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site indentation, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: I had swelling about the size of a grapefruit that lasted roughly a week starting five days after I got the shot. It was very itchy and had redness. At times it looked like ring worm with a pronounced red circle and an indent in the shit area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Dose 2 — Moderna
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2021-01-22
Survey response — day 21, dose 1MedDRA: Fatigue, Headache, Myalgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: I received my second dose and had a lot of fatigue and muscle aches on the side I recurved them injection. I also experienced headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tirednessAdult check-in
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2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-07-22
- 2022-01-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-22 | priority 2/3 |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Swelling around the injection site that wasn't there yesterday.
Systemic reaction (other): Vivid dreams
Systemic reaction (other): Burning nose sensation
Systemic reaction (other): Irritability
Systemic reaction (other): Irritability
Release 1 — day 7, dose 1
Systemic reaction (other): Swelling and itchy returned today at the injection site
Release 1 — day 14, dose 1
Symptoms: I had swelling about the size of a grapefruit that lasted roughly a week starting five days after I got the shot. It was very itchy and had redness. At times it looked like ring worm with a pronounced red circle and an indent in the shit area.
Release 2 — day 21, dose 1
Symptoms: I received my second dose and had a lot of fatigue and muscle aches on the side I recurved them injection. I also experienced headaches.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site indentation | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Nasal discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release