Y8J-25232-52472
4 vaccinations
7 coded responses
43 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 721 / AR
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-21
-
2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Lymph node pain — Feeling: Fair · Site: PainFree text: Some pain in armpit/lymphnode area, located on side of injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
-
2021-03-25
Survey response — day 7, dose 1MedDRA: Injection site rash, Pruritus — Feeling: Fair · Site: ItchingFree text: Rash at injection site with some mild itching over bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
-
2021-04-14
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Cold sweat — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cold sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-21
- 2021-04-30
- 2021-05-07
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-13
-
2021-10-27
Dose 3 — Moderna
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
- 2021-10-29
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Neck pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, NauseaFree text: Neck sore-did not have this on first two shots.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-02
- 2021-11-03
-
2021-11-11
Survey response — day 14, dose 3MedDRA: Erythema, Fatigue, Muscular weakness, Oedema peripheral, Pain in extremity, Peripheral swelling, Skin discolouration, Tenderness — Feeling: FairFree text: Raised areas on shins and on on feet that are slightly red and mildly tender. 5 spots total on both legs. Legs feel achy and a little weak, some fluid retention on feet. Fatigue. Will see doctor if progresses tomorrow or raised areas don't go down.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-17
Survey response — day 21, dose 3MedDRA: Erythema nodosum, Office visit — Feeling: FairFree text: Erythema Nodosum in lower legs and feet diagnosed by doctor as possible vaccine reaction. I have no other symptoms/ illness at this time.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Survey response — day 28, dose 3MedDRA: Erythema nodosum, Immunisation reaction, Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Erythema Nodusum diagnosed by doctor on Nov 15th- he said probably a delayed vaccine reaction- rash was on both lower legs- cleared after 10 daysMedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-01
- 2021-12-08
- 2022-01-13
- 2022-01-28
- 2022-04-27
-
2022-10-15
Dose 4 — Pfizer-BioNTech
- 2022-10-29
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-11-19
- 2022-11-26
- 2023-01-14
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-10-15 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-24 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Some pain in armpit/lymphnode area, located on side of injection
Release 6 — day 7, dose 1
Systemic reaction (other): Rash at injection site with some mild itching over body
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Cold sweats
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Neck sore-did not have this on first two shots.
Release 10 — day 14, dose 3
Symptoms: Raised areas on shins and on on feet that are slightly red and mildly tender. 5 spots total on both legs. Legs feel achy and a little weak, some fluid retention on feet. Fatigue. Will see doctor if progresses tomorrow or raised areas don't go down. cut off by CDC
Release 10 — day 21, dose 3
Symptoms: Erythema Nodosum in lower legs and feet diagnosed by doctor as possible vaccine reaction. I have no other symptoms/ illness at this time.
Release 10 — day 28, dose 3
Symptoms: Erythema Nodusum diagnosed by doctor on Nov 15th- he said probably a delayed vaccine reaction- rash was on both lower legs- cleared after 10 days
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 | Erythema | · | · | ✓ |
| SD | Erythema nodosum | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Immunisation reaction | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Skin discolouration | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release