W9H-32284-92835
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 920 / CA
- Registered
- 2020-12-26
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-26
Registered in v-safe
-
2020-12-26
Dose 1 — Moderna
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2020-12-26
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
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2020-12-26
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
-
2020-12-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2020-12-28
- 2020-12-31
- 2021-01-02
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2021-01-09
Survey response — day 14, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swollen lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-19
-
2021-01-23
Dose 2 — Moderna
- 2021-01-23
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2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-26
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2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-15
- 2021-02-17
- 2021-02-20
- 2021-02-27
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2021-03-06
Survey response — day 42, dose 2MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throat, runny nose, congestion,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-14
- 2021-04-26
- 2021-07-26
- 2022-01-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-26 | Moderna | |
| 2 | 2021-01-23 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-26 | Unsuccessful | |
| 2021-01-09 | Unsuccessful | |
| 2021-03-06 | Unsuccessful |
Free text
Release 1 — day 14, dose 1
Symptoms: Swollen lymph node
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph node
Systemic reaction (other): Swollen lymph node
Release 3 — day 7, dose 2
Systemic reaction (other): Swollen lymph node
Release 5 — day 42, dose 2
Symptoms: Sore throat, runny nose, congestion,
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 | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release