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Y66-26171-39279

4 vaccinations 6 coded responses 54 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
577 / SD
Registered
2021-03-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-12
    Registered in v-safe
  2. 2021-03-12
    Dose 1 — Moderna
  3. 2021-03-12
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  4. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  10. 2021-03-19
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  11. 2021-03-26
    Survey response — day 14, dose 1
    MedDRA: Chills, Fatigue, Injection site erythema, Injection site pain, Insomnia, Myalgia, Nausea — Feeling: Good · Be unable to do your normal daily activities
    Free text: 7-9 days after vaccination: moderate pain at site; redness at site; moderate chills, muscle pain, fatigue, insommia, nausea.Went away by day 10 with some recurrence of injection site redness days 10-13.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-09
    Dose 2 — Moderna
  14. 2021-04-09
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea, Abdominal pain
    Adult check-in
  15. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  21. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  22. 2021-04-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-01
    Dose 3 — Moderna
  30. 2021-12-01
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness, Nausea
    Adult check-in
  31. 2021-12-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  32. 2021-12-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness
    Free text: My left lymph node (same side as injection arm) is swollen
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-12-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling
    Free text: Left arm lymph node (same side as injection) still a little swollen but much improved from yesterday
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Left arm lymph node still a mildly swollen (same arm as injection)
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-12-08
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-12-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-05
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-12
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-03-02
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-06-01
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-10-28
    Dose 4 — Moderna
  46. 2022-10-28
    Health check-in — day 0, dose 4
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  47. 2022-10-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  48. 2022-10-30
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Lymph node in injection underarm is swollen
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-10-31
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  50. 2022-11-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  51. 2022-11-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  52. 2022-11-04
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  53. 2022-11-11
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-11-18
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-11-25
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-12-02
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-12-09
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  58. 2023-01-27
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  59. 2023-04-28
    Survey response — 6 months, dose 4
    MedDRA: Cerumen impaction — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  60. 2023-04-28
    Report sent to call center — 6 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  61. 2023-05-01

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Moderna
22021-04-09Moderna
32021-12-01Moderna No
42022-10-28Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2023-04-28 Unsuccessful

Free text

Release 6 — day 14, dose 1

2021-03-26

Symptoms: 7-9 days after vaccination: moderate pain at site; redness at site; moderate chills, muscle pain, fatigue, insommia, nausea.Went away by day 10 with some recurrence of injection site redness days 10-13.

Release 10 — days 1–6 daily, dose 3

2021-12-03

Systemic reaction (other): My left lymph node (same side as injection arm) is swollen

2021-12-04

Systemic reaction (other): Left arm lymph node (same side as injection) still a little swollen but much improved from yesterday

2021-12-05

Systemic reaction (other): Left arm lymph node still a mildly swollen (same arm as injection)

Release 12 — days 1–6 daily, dose 4

2022-10-30

Systemic reaction (other): Lymph node in injection underarm is swollen

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
SDCerumen impaction · · ✓
SDChills ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SROLymphadenopathy · · ✓

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

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