RXV-26290-49889
3 vaccinations
5 coded responses
28 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 071 / NJ
- Registered
- 2021-07-08
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-08
Registered in v-safe
-
2021-07-08
Dose 1 — Moderna
- 2021-07-08
- 2021-07-09
-
2021-07-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-07-11
- 2021-07-12
-
2021-07-13
Survey response — days 1–6 daily, dose 1MedDRA: Somnolence — Feeling: GoodFree text: SleepinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-14
-
2021-07-15
Survey response — day 7, dose 1MedDRA: Erythema, Pruritus — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection siteFree text: Itchy and red spots over my left breast and lower leg that I did not notice this morning.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-22
-
2021-07-31
Survey response — day 21, dose 1MedDRA: Dizziness — Feeling: FairFree text: I feel dizzy all the time now and sometimes like Im going to pass outMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-05
-
2021-08-11
Dose 2 — Moderna
-
2021-08-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-13
- 2021-08-14
- 2021-08-15
- 2021-08-16
- 2021-08-17
- 2021-08-18
- 2021-08-25
- 2021-09-01
- 2021-09-08
-
2021-09-15
Survey response — day 35, dose 2MedDRA: Headache, Orthostatic hypotension, Sleep disorder — Feeling: GoodFree text: Ive woken up in the middle of the night feeling like blood rushing to my brain which causes massive pain. It happened for just a few seconds, goes away just as fast after I lift my head up.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-24
- 2021-11-12
- 2022-02-09
-
2022-02-22
Dose 3 — Moderna
-
2022-05-24
Survey response — 3 months, dose 3MedDRA: Amenorrhoea, Arthralgia, Bone pain — Feeling: Fair · 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: I don't see my period, joint and/or bone painMedDRA releases: 2024-11 · check-in free text available
-
2022-05-24
Report sent to call center — 3 months, dose 3Be 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)
- 2022-05-25
- 2022-05-31
- 2022-06-02
-
2022-06-02
Callback requested for05:00PM ET
-
2022-06-02
Call successfulCompleted over the phone
- 2022-08-23
- 2023-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-08 | Moderna | No |
| 2 | 2021-08-11 | Moderna | No |
| 3 | 2022-02-22 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Sleepiness
Release 9 — day 7, dose 1
Systemic reaction (other): Itchy and red spots over my left breast and lower leg that I did not notice this morning.
Release 9 — day 21, dose 1
Symptoms: I feel dizzy all the time now and sometimes like Im going to pass out
Release 9 — day 35, dose 2
Symptoms: Ive woken up in the middle of the night feeling like blood rushing to my brain which causes massive pain. It happened for just a few seconds, goes away just as fast after I lift my head up.
Release 11 — 3 months, dose 3
Symptoms: I don't see my period, joint and/or bone 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 | Amenorrhoea | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Bone pain | · | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Orthostatic hypotension | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SRO | Erythema | ✓ | · | ✓ |
| SRO | Pruritus | ✓ | · | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release