X2W-33310-28747
3 vaccinations
11 coded responses
40 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 018 / MA
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-15
Registered in v-safe
-
2021-02-15
Dose 1 — Moderna
- 2021-02-15
-
2021-02-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-02-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling, Itching · Fever · Fatigue or tirednessAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-19
- 2021-02-20
- 2021-02-21
-
2021-02-22
Survey response — day 7, dose 1MedDRA: Axillary pain, Headache, Myalgia, Pain in extremity — Feeling: Fair · Fever · Fatigue or tirednessFree text: Sudden stabbing pain in head, lasted about 10 minutes and came on very suddenly. Pain in armpit on arm where I got injection. Very strong right leg muscle pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — day 14, dose 1MedDRA: Fatigue, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Mobility decreased, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: 101.3 fever. Severe body aches leading to almost an inability to move. Extremely tired. Injection site became itchy, red, hot to the touch and swelled to a bump.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
-
2021-03-15
Dose 2 — Moderna
- 2021-03-15
- 2021-03-15
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-12
Survey response — day 28, dose 2MedDRA: Ear pain, Fatigue, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 100.5° fever, extreme fatigue, bad ear ache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Survey response — day 35, dose 2MedDRA: Ear infection, Fatigue, Nasal congestion, Upper-airway cough syndrome — Feeling: Fair · 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: Ear infection requiring antibiotics. Extreme fatigue. Fever (100.3-100.5). Post nasal drip. Stuffy nose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-26
Survey response — day 42, dose 2MedDRA: Ear pain, Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Continuing inner ear pain. Strong fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-14
- 2021-09-13
-
2022-02-04
Dose 3 — Moderna
-
2022-02-05
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Breast pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Armpit pain on same arm of injection site. Severe breast pain.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-06
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Breast pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Severe breast pain. Severe pain under same armpit of injection site arm.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-07
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Severe pain in armpit of same arm as injection.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-08
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Breast pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessFree text: Continued pain in armpit of same arm as injection. Severe breast pain.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-09
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Injection site bruising — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Injection site has a spreading bruise. Armpit of same arm as injection site still hurts.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-02-11
- 2022-02-18
- 2022-02-25
- 2022-03-04
-
2022-03-11
Survey response — day 35, dose 3MedDRA: Ear pruritus, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: GoodFree text: Sneezing, sore throat, itchy ears, runny nose, congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-18
- 2022-04-01
- 2022-05-06
- 2022-08-05
- 2023-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-15 | Moderna | |
| 3 | 2022-02-04 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-19 | Unsuccessful |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Sudden stabbing pain in head, lasted about 10 minutes and came on very suddenly. Pain in armpit on arm where I got injection. Very strong right leg muscle pain.
Release 4 — day 14, dose 1
Symptoms: 101.3 fever. Severe body aches leading to almost an inability to move. Extremely tired. Injection site became itchy, red, hot to the touch and swelled to a bump.
Release 7 — day 28, dose 2
Symptoms: 100.5° fever, extreme fatigue, bad ear ache.
Release 7 — day 35, dose 2
Symptoms: Ear infection requiring antibiotics. Extreme fatigue. Fever (100.3-100.5). Post nasal drip. Stuffy nose.
Release 8 — day 42, dose 2
Symptoms: Continuing inner ear pain. Strong fatigue.
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Armpit pain on same arm of injection site. Severe breast pain.
Systemic reaction (other): Severe breast pain. Severe pain under same armpit of injection site arm.
Systemic reaction (other): Severe pain in armpit of same arm as injection.
Systemic reaction (other): Continued pain in armpit of same arm as injection. Severe breast pain.
Systemic reaction (other): Injection site has a spreading bruise. Armpit of same arm as injection site still hurts.
Release 11 — day 35, dose 3
Symptoms: Sneezing, sore throat, itchy ears, 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 | Ear infection | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Ear pruritus | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Breast pain | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release