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AE7-18908-92457

3 vaccinations 4 coded responses 17 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
972 / OR
Registered
2021-03-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-24
    Dose 1 — Moderna
  2. 2021-03-25
    Registered in v-safe
  3. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Headache
    Free text: Pain and swelling in lymph nodes under left arm (injection site)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-31
    Survey response — day 7, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Itching · Headache
    Free text: Swelling and pain in lymph nodes under arm (injection site)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-07
    Survey response — day 14, dose 1
    MedDRA: Injection site pruritus, Rash erythematous — Feeling: Good
    Free text: I had some itching at the injection site, followed by a few days of a pretty intense red rash covering my shoulder/upper arm surrounding the injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-16
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-04-21
    Dose 2 — Moderna
  12. 2021-04-28
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-05-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-12-03
    Dose 3 — Moderna
  20. 2022-04-26
    Survey response — 12 months, dose 2
    MedDRA: Pericarditis — 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 · Outpatient clinic or urgent care clinic visit
    Free text: I developed pericarditis
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-04-26
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  22. 2022-04-28
  23. 2022-04-28
  24. 2022-04-28
    Call successful
    Completed over the phone
  25. 2022-06-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna
22021-04-21Moderna
32021-12-03Moderna No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): Pain and swelling in lymph nodes under left arm (injection site)

Release 6 — day 7, dose 1

2021-03-31

Systemic reaction (other): Swelling and pain in lymph nodes under arm (injection site)

Release 7 — day 14, dose 1

2021-04-07

Symptoms: I had some itching at the injection site, followed by a few days of a pretty intense red rash covering my shoulder/upper arm surrounding the injection site.

Release 11 — 12 months, dose 2

2022-04-26

Symptoms: I developed pericarditis

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
SDInjection site pruritus ✓ ✓ ✓
SDPericarditis · · ✓
SDRash erythematous ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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

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