EEJ-11547-52337
3 vaccinations
6 coded responses
34 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 481 / MI
- Registered
- 2021-05-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-04
Dose 1 — Moderna
-
2021-05-07
Registered in v-safe
-
2021-05-07
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: PainFree text: Swollen painful armpit area on the arm that was injectedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
-
2021-05-10
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: Pain in the armpit in the arm that I got the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-18
- 2021-05-25
-
2021-06-01
Dose 2 — Moderna
- 2021-06-01
- 2021-06-01
-
2021-06-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-06-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-06-04
- 2021-06-05
- 2021-06-06
- 2021-06-07
- 2021-06-08
- 2021-06-15
- 2021-06-22
- 2021-07-01
-
2021-07-06
Survey response — day 35, dose 2MedDRA: Oropharyngeal pain, Pyrexia — Feeling: GoodFree text: Fever and sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-13
- 2021-08-31
- 2021-11-30
-
2022-01-21
Dose 3 — Moderna
-
2022-01-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2022-01-26
- 2022-01-27
-
2022-01-28
Survey response — day 7, dose 3MedDRA: Vaginal haemorrhage — Feeling: GoodFree text: Vaginal bleedingMedDRA releases: 2024-11 · check-in free text available
- 2022-02-04
- 2022-02-12
- 2022-02-18
- 2022-02-25
- 2022-03-04
-
2022-04-22
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-07-22
-
2023-01-21
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-21
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-23
-
2023-01-24
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-04 | Moderna | |
| 2 | 2021-06-01 | Moderna | |
| 3 | 2022-01-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-21 | Successful 2023-01-24 |
Completed over the phone |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen painful armpit area on the arm that was injected
Systemic reaction (other): Pain in the armpit in the arm that I got the shot
Release 9 — day 35, dose 2
Symptoms: Fever and sore throat
Release 11 — day 7, dose 3
Systemic reaction (other): Vaginal bleeding
Release 11 — 3 months, dose 3
Symptoms: Cold symptoms
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 | Abortion spontaneous | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Vaginal haemorrhage | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release