DKL-29859-88259
1 vaccination
6 coded responses
12 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 021 / MA
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: FairFree text: Painful lymphadenopathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: FairFree text: Painful lymphadenopathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Painful lymphadenopathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Survey response — day 14, dose 1MedDRA: Injection site pain, Injection site rash, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Erythema marginatum like rash over deltoid at injection site. Very pruritic and mildly tender. Resolved with Zyrtec.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-23
Survey response — day 21, dose 1MedDRA: Back pain, Pain in extremity, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Low back pain, Left leg pain and foot tingling, probably just mild sciaticaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Call successfulParticipant prefers to complete VAERS report online
- 2021-07-03
-
2022-01-04
Survey response — 12 months, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Painful lymphadenopathy
Systemic reaction (other): Painful lymphadenopathy
Release 1 — day 7, dose 1
Systemic reaction (other): Painful lymphadenopathy
Release 2 — day 14, dose 1
Symptoms: Erythema marginatum like rash over deltoid at injection site. Very pruritic and mildly tender. Resolved with Zyrtec.
Release 2 — day 21, dose 1
Symptoms: Low back pain, Left leg pain and foot tingling, probably just mild sciatica
Release 10 — 12 months, dose 1
Symptoms: Pregnancy
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release