JD7-13510-63527
3 vaccinations
2 coded responses
25 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 018 / MA
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
7UZ-25429-33350
Child or adolescent in my care · Female · 2021-11-22
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2021-01-04
Registered in v-safe
-
2021-01-04
Health check-in — day 7, dose 1Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-11
Survey response — day 14, dose 1MedDRA: Hypersensitivity, Hypoaesthesia, Pain in extremity — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Left arm pain and numbness. Also had an allergic reactionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-11
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-27
-
2021-01-31
Dose 2 — Moderna
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-02-07
- 2021-02-16
- 2021-02-21
-
2021-02-22
Call successfulParticipant prefers to complete VAERS report online
- 2021-02-28
- 2021-03-07
-
2021-03-14
Survey response — day 42, dose 2MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lower back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-08-01
-
2021-11-22
Dose 3 — Moderna
- 2021-11-24
- 2021-11-26
- 2021-11-27
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-02-23
- 2022-05-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-31 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 1 — day 14, dose 1
Symptoms: Left arm pain and numbness. Also had an allergic reaction
Release 5 — day 42, dose 2
Symptoms: Lower back pain
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 | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release