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YEK-24957-97459

3 vaccinations 12 coded responses 39 check-ins 12 free-text entries 3 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
217 / MD
Registered
2021-01-15
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Moderna
  3. 2021-01-15
    Survey response — day 0, dose 1
    MedDRA: Flatulence, Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness
    Free text: Low-grade fever, flatulence
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-16
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling, Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  10. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-29
    Survey response — day 14, dose 1
    MedDRA: Pruritus — Feeling: Good
    Free text: Itchy forearms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-12
    Dose 2 — Moderna
  14. 2021-02-12
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  15. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  16. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness
    Adult check-in
  17. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  18. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  19. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-26
    Survey response — day 14, dose 2
    MedDRA: Breast tenderness, Injection site pruritus, Lymphadenopathy — Feeling: Good
    Free text: Breast tenderness that i thought was from new calcium-phosphorus-magnesium supplement, but there is an article that says, after a vaccine, like the COVID-19 vaccine, lymph nodes under the arm can become swollen. Also had mild itching @inj site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-06
    Survey response — day 21, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Be unable to work
    Free text: May be unrelated to vaccination, but experiencing possibly piriformis syndrome or sciatica pain (never had before)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-10
    Dose 3 — Moderna
  30. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  31. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains
    Adult check-in
  32. 2021-12-13
    Survey response — days 1–6 daily, dose 3
    MedDRA: Discomfort — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site
    Free text: Discomfort under armpit of arm that was injectedlymph nodes???
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-12-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Discomfort — Feeling: Good · Site: Pain, Itching
    Free text: Still occasional discomfort in armpit of inject arm
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-15
    Survey response — days 1–6 daily, dose 3
    MedDRA: Discomfort — Feeling: Good
    Free text: Just the same occasional discomfort in armpit of arm that was injected (where milk ducts are, but last time i nursed was 18.5 years ago!!)
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-12-16
    Survey response — days 1–6 daily, dose 3
    MedDRA: Discomfort — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Still discomfort in armpit of injected arm
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-12-17
    Survey response — day 7, dose 3
    MedDRA: Discomfort — Feeling: Good
    Free text: Still the same occasional discomfort in that armpit
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-12-24
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-31
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-07
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-14
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-21
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-03-11
    Survey response — 3 months, dose 3
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Still having issues with armpit of vaccinated arm 3 months after booster!!
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-06-10
    Survey response — 6 months, dose 3
    MedDRA: Lymphadenopathy, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Armpit lymphadenopathy subsided after 4 months but reappeared 3 days ago. Not good! Going to see doctor in 3 days · Healthcare visit (other): Will be going in-person for visit
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-06-10
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  45. 2022-06-13
  46. 2022-12-10
    Survey response — 12 months, dose 3
    MedDRA: Discomfort, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Still have discomfort in axillary of vaccinated arm. · Healthcare visit (other): Office visit in person
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-12-10
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  48. 2022-12-12
  49. 2022-12-12

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna
32021-12-10Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-01-16 priority 2/3
2022-06-10 Unsuccessful
2022-12-10 Unsuccessful

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Low-grade fever, flatulence

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Itchy forearms

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Breast tenderness that i thought was from new calcium-phosphorus-magnesium supplement, but there is an article that says, after a vaccine, like the COVID-19 vaccine, lymph nodes under the arm can become swollen. Also had mild itching @inj site

Release 5 — day 21, dose 2

2021-03-06

Symptoms: May be unrelated to vaccination, but experiencing possibly piriformis syndrome or sciatica pain (never had before)

Release 10 — days 1–6 daily, dose 3

2021-12-13

Systemic reaction (other): Discomfort under armpit of arm that was injectedlymph nodes???

2021-12-14

Systemic reaction (other): Still occasional discomfort in armpit of inject arm

2021-12-15

Systemic reaction (other): Just the same occasional discomfort in armpit of arm that was injected (where milk ducts are, but last time i nursed was 18.5 years ago!!)

2021-12-16

Systemic reaction (other): Still discomfort in armpit of injected arm

Release 10 — day 7, dose 3

2021-12-17

Systemic reaction (other): Still the same occasional discomfort in that armpit

Release 11 — 3 months, dose 3

2022-03-11

Symptoms: Still having issues with armpit of vaccinated arm 3 months after booster!!

Release 12 — 6 months, dose 3

2022-06-10

Symptoms: Armpit lymphadenopathy subsided after 4 months but reappeared 3 days ago. Not good! Going to see doctor in 3 days
Healthcare visit (other): Will be going in-person for visit

Release 12 — 12 months, dose 3

2022-12-10

Symptoms: Still have discomfort in axillary of vaccinated arm.
Healthcare visit (other): Office visit in person

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
HCVOOffice visit · · ✓
HCVOUnevaluable event · · ✓
SDBreast tenderness ✓ ✓ ✓
SDDiscomfort · · ✓
SDInjection site pruritus ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SRODiscomfort · · ✓
SROFlatulence ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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

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