PJA-28473-56667
2 vaccinations
2 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 212 / MD
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-17
Dose 1 — Moderna
-
2021-02-16
Dose 2 — Moderna
-
2021-02-18
Registered in v-safe
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Good · Site: ItchingFree text: Left lymph node under arm was tender & hurting the past few days. This is the same side i received 2nd Vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Abdominal painAdult check-in
- 2021-02-23
- 2021-03-02
- 2021-03-11
- 2021-03-16
- 2021-03-23
- 2021-03-31
- 2021-05-20
- 2021-08-19
-
2022-02-16
Survey response — 12 months, dose 2MedDRA: Anosmia, Chills, Cough, Fatigue, Headache, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Headache, chills, congestion, cold like symptoms, mild loss of smell, moderate loss of taste, dry cough, sore throat and overall being exhausted. · Healthcare visit (other): Rec'd booster 2/14/2022MedDRA releases: 2024-11 · check-in free text available
-
2022-02-16
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-18
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-16 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Left lymph node under arm was tender & hurting the past few days. This is the same side i received 2nd Vaccination.
Release 11 — 12 months, dose 2
Symptoms: Headache, chills, congestion, cold like symptoms, mild loss of smell, moderate loss of taste, dry cough, sore throat and overall being exhausted.
Healthcare visit (other): Rec'd booster 2/14/2022
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 | Anosmia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release