D7B-14134-44139
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 344 / FL
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-30
Registered in v-safe
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2021-04-30
Dose 1 — Moderna
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2021-04-30
Survey response — day 0, dose 1MedDRA: Peripheral coldness — Feeling: GoodFree text: My hands feel unusually coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-05-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
-
2021-05-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling · Fever · Headache, Muscle or body achesAdult check-in
- 2021-05-04
- 2021-05-05
- 2021-05-06
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2021-05-07
Survey response — day 7, dose 1MedDRA: Injection site pruritus, Injection site swelling — Feeling: Good · Site: ItchingFree text: Theres a bump or raised area that itches at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site swelling — Feeling: GoodFree text: Itchiness at ejection site and swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
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2021-05-28
Dose 2 — Moderna
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2021-05-28
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-31
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2021-06-01
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: GoodFree text: SweatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats — Feeling: Good · Fatigue or tirednessFree text: Sweating through the nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-03
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2021-06-04
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-07-02
- 2021-07-09
- 2021-08-29
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2021-11-26
Survey response — 6 months, dose 2MedDRA: Abdominal discomfort, Ectopic pregnancy — 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, Emergency room or emergency department visitFree text: Had a tubal (ectopic) pregnancy and severe gastrointestinal discomfort.MedDRA releases: 2024-11 · check-in free text available
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2021-11-26
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-11-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Moderna | |
| 2 | 2021-05-28 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-26 | Unsuccessful |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): My hands feel unusually cold
Release 8 — day 7, dose 1
Systemic reaction (other): Theres a bump or raised area that itches at the injection site
Release 8 — day 14, dose 1
Symptoms: Itchiness at ejection site and swelling
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sweating
Systemic reaction (other): Sweating through the night
Release 10 — 6 months, dose 2
Symptoms: Had a tubal (ectopic) pregnancy and severe gastrointestinal discomfort.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Ectopic pregnancy | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release