VZX-23721-83634
2 vaccinations
8 coded responses
26 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 086 / NJ
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Injection site warmth — Feeling: Fair · Site: Redness, Swelling · HeadacheFree text: Warmth at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site warmth — Feeling: Good · Site: Redness, Swelling, Itching · HeadacheFree text: Warmth at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Injection site mass — Feeling: Good · Site: Redness · HeadacheFree text: Small lump at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
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2021-01-21
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth — Feeling: GoodFree text: About 8 days post vaccine the injection site was hard,red,warm and itchy. Lasting 3 days then went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
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2021-02-03
Dose 2 — Moderna
- 2021-02-03
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2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache · Be unable to workAdult check-in
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2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · FeverFree text: Soreness at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
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2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Injection site discomfort, Insomnia — Feeling: GoodFree text: Soreness at injection site And insomnia last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-10
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2021-02-17
Survey response — day 14, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Soreness at injection site 10 days post vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
- 2021-08-04
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2022-02-03
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Miscarriage 10/2021MedDRA releases: 2024-11 · check-in free text available
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2022-02-03
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-03 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Warmth at injection site
Systemic reaction (other): Warmth at injection site
Systemic reaction (other): Small lump at injection site
Release 2 — day 14, dose 1
Symptoms: About 8 days post vaccine the injection site was hard,red,warm and itchy. Lasting 3 days then went away.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Soreness at injection site
Systemic reaction (other): Soreness at injection site And insomnia last night
Release 4 — day 14, dose 2
Symptoms: Soreness at injection site 10 days post vaccine
Release 11 — 12 months, dose 2
Symptoms: Miscarriage 10/2021
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 | Abortion spontaneous | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site induration | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release