Y52-23004-54451
4 vaccinations
13 coded responses
43 check-ins
13 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 484 / MI
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-12
Dose 1 — Moderna
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2021-02-26
Registered in v-safe
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2021-02-26
Survey response — day 14, dose 1MedDRA: Lymphadenopathy — Feeling: FairFree text: Swollen lymph nodes in left side of collarbone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — day 21, dose 1MedDRA: Lymph node pain, Lymphadenopathy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My swollen lymph node became very painful for a few days. It is still pretty swollen, but not as painful thank goodness. · Healthcare visit (other): I made an appointment to get a lymphatic drainage massage in hopes that it will help with my swollen lymph node.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-12
Dose 2 — Moderna
- 2021-03-12
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache · Be unable to do your normal daily activitiesAdult check-in
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2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache · Be unable to do your normal daily activitiesAdult check-in
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2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-27
- 2021-04-03
- 2021-04-09
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2021-04-16
Survey response — day 35, dose 2MedDRA: Sinus headache — Feeling: GoodFree text: Sinus headache, but that could be from Michigans ever changing weather/seasons.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-06-13
- 2021-09-10
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2021-10-29
Dose 3 — ModernaCo-administered: Flu
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-11-05
Health check-in — day 7, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-11-12
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2021-11-13
Call successfulCompleted over the phone
- 2021-11-19
- 2021-12-03
- 2021-12-10
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2022-01-28
Survey response — 3 months, dose 3MedDRA: Headache, Rhinorrhoea — Feeling: GoodFree text: Headache and runny nose.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-30
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2022-10-14
Dose 4 — ModernaCo-administered: Flu
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2022-10-15
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-10-16
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-10-17
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Sinus congestion — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, sinus congestionMedDRA releases: 2024-11 · check-in free text available
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2022-10-18
Survey response — days 1–6 daily, dose 4MedDRA: Cough — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tirednessFree text: CoughMedDRA releases: 2024-11 · check-in free text available
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2022-10-19
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Paranasal sinus hypersecretion — Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tirednessFree text: Cough, sinus drainageMedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Survey response — day 7, dose 4MedDRA: Cough, Sinus congestion — Feeling: FairFree text: Sinus congestion, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
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2022-11-04
Survey response — day 21, dose 4MedDRA: Cough, Sinusitis, Therapeutic procedure — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus infection and slight cough · Healthcare visit (other): Salt TherapyMedDRA releases: 2024-11 · check-in free text available
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2022-11-04
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-11-07
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2022-11-13
Survey response — day 28, dose 4MedDRA: Cough, Discharge, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus Infection, still coughing. Lots of drainageMedDRA releases: 2024-11 · check-in free text available
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2022-11-13
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-14
- 2022-11-14
- 2022-11-19
- 2022-11-25
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-10-29 | Moderna | Flu |
| 4 | 2022-10-14 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-05 | Successful 2021-11-13 |
Completed over the phone |
| 2022-11-04 | Unsuccessful | |
| 2022-11-13 | Unsuccessful |
Free text
Release 4 — day 14, dose 1
Symptoms: Swollen lymph nodes in left side of collarbone.
Release 5 — day 21, dose 1
Symptoms: My swollen lymph node became very painful for a few days. It is still pretty swollen, but not as painful thank goodness.
Healthcare visit (other): I made an appointment to get a lymphatic drainage massage in hopes that it will help with my swollen lymph node.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Release 7 — day 35, dose 2
Symptoms: Sinus headache, but that could be from Michigans ever changing weather/seasons.
Release 11 — 3 months, dose 3
Symptoms: Headache and runny nose.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Cough, sore throat
Systemic reaction (other): Cough, sore throat
Systemic reaction (other): Cough, sinus congestion
Systemic reaction (other): Cough
Systemic reaction (other): Cough, sinus drainage
Release 12 — day 7, dose 4
Systemic reaction (other): Sinus congestion, cough
Release 12 — day 21, dose 4
Release 12 — day 28, dose 4
Symptoms: Sinus Infection, still coughing. Lots of drainage
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 | Lymphadenopathy | ✓ | ✓ | ✓ |
| HCVO | Therapeutic procedure | · | · | ✓ |
| HCVO | Unevaluable event | ○ | ✓ | ○ |
| SD | Cough | · | · | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus headache | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Paranasal sinus hypersecretion | · | · | ✓ |
| SRO | Sinus congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release