MSE-27006-24946
4 vaccinations
9 coded responses
46 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 921 / CA
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Registered dependents
NT4-12761-33472
Child or adolescent in my care · Male · 2022-06-28
Timeline
-
2021-03-01
Registered in v-safe
-
2021-03-01
Dose 1 — Moderna
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
-
2021-03-29
Dose 2 — Moderna
-
2021-03-29
Survey response — day 0, dose 2MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: PainFree text: Neck into back is getting stiffMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Vaccine positive rechallenge — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Swollen lymph nodes on the same side as the injection site. This also happened yesterday along with the other injection site symptoms. Didnt know how to amend yesterdays submissionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, DiarrheaFree text: Swollen lymph nodes on injection side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Swollen lymph node on injection side - mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Swollen lymph nodes on injection side - mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling, ItchingFree text: Swollen lymph node on injection side, mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-06-28
- 2021-09-27
-
2021-11-18
Dose 3 — Moderna
-
2021-11-18
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
-
2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness · Muscle or body achesFree text: Swollen lymph nodes on injection sideMedDRA releases: 2024-11 · check-in free text available
-
2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Itching · Muscle or body achesFree text: Swollen lymph nodes on injection sideMedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Muscle or body achesAdult check-in
-
2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-02-17
- 2022-05-19
-
2022-09-22
Dose 4 — Moderna
- 2022-10-08
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-12-22
-
2023-03-23
Survey response — 6 months, dose 4MedDRA: Melanocytic naevus, Pregnancy, Skin neoplasm excision — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-23
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-24
-
2023-03-24
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-09-22 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Neck into back is getting stiff
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes on the same side as the injection site. This also happened yesterday along with the other injection site symptoms. Didnt know how to amend yesterdays submission
Systemic reaction (other): Swollen lymph nodes on injection side.
Systemic reaction (other): Swollen lymph node on injection side - mild
Systemic reaction (other): Swollen lymph nodes on injection side - mild
Systemic reaction (other): Swollen lymph node on injection side, mild
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes on injection side
Systemic reaction (other): Swollen lymph nodes on injection side
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 | Melanocytic naevus | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Skin neoplasm excision | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release