VLB-18544-99848
4 vaccinations
4 coded responses
28 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 191 / PA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
-
2021-01-16
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-01-22
-
2021-01-23
Health check-in — day 7, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-30
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash, Injection site swelling — Feeling: GoodFree text: I had a delayed rash, some pruritis, and swelling at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
-
2021-02-13
Dose 2 — Moderna
-
2021-02-13
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Pleurisy — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: I forgot to mention, but I believe I had pleuritis the day I got the second dose and the day afterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-29
- 2021-05-15
- 2021-08-14
-
2021-11-09
Dose 3 — Moderna
- 2022-02-13
-
2022-05-10
Survey response — 6 months, dose 3MedDRA: Serum sickness — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I got serum sicknessMedDRA releases: 2024-11 · check-in free text available
-
2022-11-01
Dose 4 — Moderna
-
2022-11-09
Survey response — 12 months, dose 3MedDRA: Arthritis — Feeling: Good · 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: Inflammatory arthritisMedDRA releases: 2024-11 · check-in free text available
-
2022-11-09
Report sent to call center — 12 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)
- 2022-11-10
- 2023-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-11-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-09 | Unsuccessful |
Free text
Release 3 — day 14, dose 1
Symptoms: I had a delayed rash, some pruritis, and swelling at the injection site
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I forgot to mention, but I believe I had pleuritis the day I got the second dose and the day after
Release 11 — 6 months, dose 3
Symptoms: I got serum sickness
Release 12 — 12 months, dose 3
Symptoms: Inflammatory arthritis
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 | Arthritis | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Serum sickness | · | · | ✓ |
| SRO | Pleurisy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release