P49-15105-44750
1 vaccination
5 coded responses
7 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-08
Dose 1 — Moderna
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2021-03-09
Registered in v-safe
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Oedema peripheral — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: I feel swollene under my armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · 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: Lymp node swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Report sent to call center — days 1–6 daily, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to workFree text: Pain a lot of painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to workAdult check-in
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2021-03-15
Health check-in — day 7, dose 1Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to workAdult check-in
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2021-03-22
Survey response — day 14, dose 1MedDRA: Axillary pain, Pigmentation disorder, Skin discolouration, Unevaluable event — 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: Symptoms: I have dark spots all over my body and i have pain under my arm · Healthcare visit (other): PCP f/u tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Report sent to call center — day 14, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
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2021-03-31
Survey response — day 21, dose 1MedDRA: Axillary pain, Memory impairment — Feeling: Fair · Be unable to workFree text: I got my vaccines on the 8th of March. Im still not 100%. I have pain unde my arm, and poor memory retentionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
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2022-11-30
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2022-11-30
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna |
Call center
3 call center cases
2 successful · 1 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 2
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I feel swollene under my arms
Systemic reaction (other): Lymp node swollen
Systemic reaction (other): Pain a lot of pain
Release 6 — day 14, dose 1
Symptoms: I have dark spots all over my body and i have pain under my arm
Healthcare visit (other): PCP f/u tomorrow
Release 6 — day 21, dose 1
Symptoms: I got my vaccines on the 8th of March. Im still not 100%. I have pain unde my arm, and poor memory retention
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Pigmentation disorder | ✓ | ✓ | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release