XPY-25907-62080
2 vaccinations
5 coded responses
8 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 486 / MI
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-08
Dose 1 — Moderna
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2021-02-01
Dose 2 — Moderna
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2021-02-03
Registered in v-safe
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2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy, Rash, Syncope, Tenderness — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Syncope 20 hrs following vaccine #2. Tender/swollen glands. Rash on entire upper armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — day 21, dose 1MedDRA: Lymphadenopathy, Rash, Syncope — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Syncope, rash and tender/swollen glands after second vaccine on 2/1/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Rash, not including the immediate area around the injection siteFree text: Swollen glandsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-07
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2021-08-02
Survey response — 6 months, dose 2MedDRA: Arthralgia, Fatigue, Muscle spasms, Myalgia, Postmenopausal haemorrhage — Feeling: Poor · Be unable to work or attend school, 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: Post-menopausal vaginal bleeding and cramping (Biopsy was Normal). Tiredness. Aching in joints/muscles, especially in lower extremities. Onset of all symptoms was within 1 month of Covid vaccine.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-02
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-13
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2022-02-02
Survey response — 12 months, dose 2MedDRA: Arthralgia, Pain in extremity, Postmenopausal haemorrhage, Surgery, Uterine dilation and curettage — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Post menopausal vaginal bleeding. Onset 2-3 weeks after vaccine. Two biopsies negative. Resolved after 6 months with D & C. Pain in bilateral legs, ankles, feet, toes. Onset 2-4 weeks after vaccine. Subsided 8 months after vaccine · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
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2022-02-02
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-02-03
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-01 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-02 | Successful | Participant prefers to complete VAERS report online |
| 2022-02-02 | Successful 2022-02-03 |
Participant prefers to complete VAERS report online |
Free text
Release 3 — day 21, dose 1
Symptoms: Syncope, rash and tender/swollen glands after second vaccine on 2/1/21
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Syncope 20 hrs following vaccine #2. Tender/swollen glands. Rash on entire upper arm
Systemic reaction (other): Swollen glands
Release 9 — 6 months, dose 2
Symptoms: Post-menopausal vaginal bleeding and cramping (Biopsy was Normal). Tiredness. Aching in joints/muscles, especially in lower extremities. Onset of all symptoms was within 1 month of Covid vaccine.
Release 11 — 12 months, dose 2
Symptoms: Post menopausal vaginal bleeding. Onset 2-3 weeks after vaccine. Two biopsies negative. Resolved after 6 months with D & C. Pain in bilateral legs, ankles, feet, toes. Onset 2-4 weeks after vaccine. Subsided 8 months after vaccine
Healthcare visit (other): Surgery
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 | Surgery | · | · | ✓ |
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | · | ✓ |
| SD | Myalgia | ✓ | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Postmenopausal haemorrhage | ✓ | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Syncope | ✓ | ✓ | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
| SRO | Tenderness | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release