STX-89465-03248
3 vaccinations
7 coded responses
40 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 198 / DE
- Registered
- 2021-05-07
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
RRS-39826-69576
Child or adolescent in my care · Female · 2021-12-10
Timeline
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2021-05-07
Registered in v-safe
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2021-05-07
Dose 1 — Moderna
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
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2021-05-21
Survey response — day 14, dose 1MedDRA: Erythema, Office visit, Rash, Skin warm, Swelling — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Rash on the vaccinated arm. Hot to the touch. Redness and swelling. · Healthcare visit (other): Primary care physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-21
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-28
-
2021-06-04
Dose 2 — Moderna
- 2021-06-04
-
2021-06-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Abdominal painAdult check-in
-
2021-06-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-06-07
- 2021-06-08
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2021-06-09
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: Swollen lymph nodes at injection site and arm pitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-10
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Swollen lymph nodes under my armpit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-11
-
2021-06-20
Survey response — day 14, dose 2MedDRA: Rash — Feeling: GoodFree text: Rash on my arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-27
- 2021-07-02
- 2021-07-09
- 2021-07-16
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2021-09-03
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: MiscarriageMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-03
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-09
- 2021-09-14
-
2021-12-03
Survey response — 6 months, dose 2MedDRA: Carditis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Heart inflammationMedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Report sent to call center — 6 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 prEmergency room or emergency department visit · 1 call case(s)
- 2021-12-06
- 2021-12-09
-
2021-12-10
Dose 3 — Moderna
- 2021-12-10
-
2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache · Be unable to do your normal daily activitiesAdult check-in
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2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-12-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-12-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-12-15
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-01-21
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2022-03-11
Survey response — 3 months, dose 3MedDRA: Cough, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend schoolFree text: Low grade fever, congestion, and cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-12
- 2022-12-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-07 | Moderna | |
| 2 | 2021-06-04 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-21 | Unsuccessful | |
| 2021-09-03 | Unsuccessful | |
| 2021-12-03 | Unsuccessful |
Free text
Release 8 — day 14, dose 1
Symptoms: Rash on the vaccinated arm. Hot to the touch. Redness and swelling.
Healthcare visit (other): Primary care physician
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes at injection site and arm pit
Systemic reaction (other): Swollen lymph nodes under my armpit.
Release 9 — day 14, dose 2
Symptoms: Rash on my arm.
Release 9 — 3 months, dose 2
Symptoms: Miscarriage
Release 10 — 6 months, dose 2
Symptoms: Heart inflammation
Release 11 — 3 months, dose 3
Symptoms: Low grade fever, congestion, and cough.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | ✓ | · | ✓ |
| SD | Carditis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release