XRL-42431-55326
5 vaccinations
4 coded responses
45 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 551 / MN
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Dose 1 — Moderna
-
2021-02-12
Registered in v-safe
-
2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-17
-
2021-02-18
Survey response — day 7, dose 1MedDRA: Peripheral swelling — Feeling: Good · Muscle or body achesFree text: I had a swelling in my armpit yesterday (same arm as the shot), it seems better todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-04
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-07
Survey response — day 28, dose 2MedDRA: Deafness unilateral, Ear infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear infection / loss of hearing in one earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-14
Survey response — day 35, dose 2MedDRA: Deafness unilateral — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hearing loss in left earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-21
- 2021-06-09
- 2021-09-08
-
2021-09-26
Dose 3 — Moderna
- 2021-10-27
- 2021-10-31
- 2021-11-09
- 2021-12-26
- 2022-02-08
- 2022-03-27
-
2022-05-27
Dose 4 — Moderna
- 2022-05-30
- 2022-05-31
- 2022-06-01
- 2022-06-02
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-26
- 2022-07-01
- 2022-07-10
- 2022-08-26
-
2022-09-24
Dose 5 — ModernaCo-administered: Flu
- 2022-10-19
- 2022-10-22
- 2022-10-29
- 2022-11-06
- 2022-12-24
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-09-26 | Moderna | No |
| 4 | 2022-05-27 | Moderna | No |
| 5 | 2022-09-24 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-07 | Unsuccessful | |
| 2021-04-14 | Unsuccessful |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): I had a swelling in my armpit yesterday (same arm as the shot), it seems better today
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Stuffy nose
Release 7 — day 28, dose 2
Symptoms: Ear infection / loss of hearing in one ear
Release 7 — day 35, dose 2
Symptoms: Hearing loss in left ear
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 | Deafness unilateral | ✓ | ✓ | ✓ |
| SD | Ear infection | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release