SPX-26854-61823
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 287 / NC
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Dose 1 — Moderna
-
2021-04-15
Registered in v-safe
-
2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Throat irritation — Feeling: Good · Site: Pain · Muscle or body achesFree text: throat was a bit scratchy upon waking this morning but has improved throughout the day. may just be seasonal allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Blepharospasm, Muscle twitching — Feeling: Good · Site: PainFree text: left eyelid and eyebrow have been twitching persistently since yesterday. thought sleep last night would stop it but it has not yet stopped.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
-
2021-04-23
Survey response — day 7, dose 1MedDRA: Injection site rash, Pain in extremity, Tenderness — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint painsFree text: mild pain in finger joints of vaccinated arm as well as tenderness in same armpit and the forearm near elbow. small mild rash just below injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
-
2021-05-13
Dose 2 — Moderna
- 2021-05-13
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body achesAdult check-in
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, DiarrheaAdult check-in
-
2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-22
- 2021-05-29
- 2021-06-12
- 2021-08-12
-
2021-11-11
Survey response — 6 months, dose 2MedDRA: Emergency care, Syncope — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: 18 days ago I had what ER presumed was an incident of Vasovagal Syncope, triggered possibly by mast cell release from histamine response due to insect bite. Was told to follow up with general practitioner, which will happen later this month.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-11-12
Call successfulParticipant prefers to complete VAERS report online
-
2022-05-13
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: Became pregnant.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Moderna | |
| 2 | 2021-05-13 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): throat was a bit scratchy upon waking this morning but has improved throughout the day. may just be seasonal allergies.
Systemic reaction (other): left eyelid and eyebrow have been twitching persistently since yesterday. thought sleep last night would stop it but it has not yet stopped.
Release 7 — day 7, dose 1
Systemic reaction (other): mild pain in finger joints of vaccinated arm as well as tenderness in same armpit and the forearm near elbow. small mild rash just below injection site.
Release 10 — 6 months, dose 2
Symptoms: 18 days ago I had what ER presumed was an incident of Vasovagal Syncope, triggered possibly by mast cell release from histamine response due to insect bite. Was told to follow up with general practitioner, which will happen later this month.
Release 11 — 12 months, dose 2
Symptoms: Became pregnant.
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 | Emergency care | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Syncope | · | · | ✓ |
| SRO | Blepharospasm | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release