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XXX-28275-92048

2 vaccinations 3 coded responses 11 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
243 / VA
Registered
2021-01-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Dose 1 — Moderna
  2. 2021-01-20
    Registered in v-safe
  3. 2021-01-21
    Survey response — day 7, dose 1
    MedDRA: Axillary pain, Injection site hypoaesthesia, Injection site paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Numbness and tingling in arm where vaccination was given. Pain radiates to underarm area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-21
    Report sent to call center — day 7, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  5. 2021-01-27
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Hypoaesthesia, Lymphadenopathy, Pain, Paraesthesia, Vaccination site erythema, Vaccination site swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: In arm vaccine was administered: Swollen lymph nodes under arm, numbness and tingling to finger tips, fatigue, large red swollen patches near vaccine site, and body aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-27
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  7. 2021-02-09
    Dose 2 — Moderna
  8. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, 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 activities
    Adult check-in
  9. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, 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 activities
    Adult check-in
  10. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Decreased appetite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-02-20
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  13. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  17. 2022-11-30
  18. 2022-11-30
  19. 2022-12-05
  20. 2022-12-05

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-09Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-21 Unsuccessful
2021-01-27 Unsuccessful

Free text

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Numbness and tingling in arm where vaccination was given. Pain radiates to underarm area

Release 2 — day 14, dose 1

2021-01-27

Symptoms: In arm vaccine was administered: Swollen lymph nodes under arm, numbness and tingling to finger tips, fatigue, large red swollen patches near vaccine site, and body aches

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Decreased appetite

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

FieldPreferred term2021-092023-042024-11
SDFatigue ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDVaccination site erythema ✓ ✓ ✓
SDVaccination site swelling ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROInjection site hypoaesthesia ✓ ✓ ✓
SROInjection site paraesthesia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release