V9F-16860-90490
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 027 / MA
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Registered in v-safe
-
2021-04-14
Dose 1 — Moderna
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2021-04-14
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Inflammation, Neck pain — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Neck pain and inflammation at base of the headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
-
2021-04-21
Health check-in — day 7, dose 1Feeling: Fair · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-28
- 2021-05-05
-
2021-05-12
Dose 2 — Moderna
- 2021-05-12
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2021-05-13
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Musculoskeletal chest pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Intense back pain and pain in my ribsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — days 1–6 daily, dose 2MedDRA: Injection site reaction, Photosensitivity reaction, Sunburn — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body achesFree text: Sun sensitivity at injection site leading to easy sunburnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-16
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Good · Site: Itching · Muscle or body achesFree text: Lower back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-05-21
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-06-23
- 2021-08-11
- 2021-11-11
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2022-05-12
Survey response — 12 months, dose 2MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I became pregnant · Healthcare visit (other): Routine obgynMedDRA releases: 2024-11 · check-in free text available
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2022-05-12
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Moderna | |
| 2 | 2021-05-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-12 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Neck pain and inflammation at base of the head
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Intense back pain and pain in my ribs
Systemic reaction (other): Sun sensitivity at injection site leading to easy sunburn
Systemic reaction (other): Lower back pain
Release 11 — 12 months, dose 2
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 | Pregnancy | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Photosensitivity reaction | ✓ | ✓ | ✓ |
| SRO | Sunburn | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release