YLW-19581-33865
5 vaccinations
23 coded responses
65 check-ins
23 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 223 / VA
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-31
Registered in v-safe
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2021-01-31
Dose 1 — Moderna
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth, Palpitations — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Nausea · Be unable to workFree text: Heart racing, dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-14
- 2021-02-21
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2021-02-28
Dose 2 — Moderna
- 2021-02-28
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Neuralgia, Pain of skin — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Skin/Sensory nerve painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to workFree text: Swollen, painful lymph node under armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · HeadacheFree text: Swollen lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: Swollen lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Swollen lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-05-30
- 2021-08-29
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2021-11-05
Dose 3 — Moderna
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Sensitive skin, Toothache — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Skin sensitivity, tooth painMedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body achesAdult check-in
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2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint painsFree text: Swollen, red lymph node on neck.MedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Red swollen lymph node in neckMedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node in neckMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-19
- 2021-11-26
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2021-12-05
Survey response — day 28, dose 3MedDRA: Kidney infection, Mastoiditis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: A kidney infection and mastoiditis. Guessing all coincidental and not related to the vaccine though.MedDRA releases: 2024-11 · check-in free text available
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2021-12-05
Report sent to call center — day 28, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-12-07
- 2021-12-10
- 2021-12-17
- 2022-02-04
- 2022-05-06
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2022-07-15
Dose 4 — Moderna
- 2022-07-15
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2022-07-16
Survey response — days 1–6 daily, dose 4MedDRA: Hot flush, Pain of skin, Toothache — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Skin pain, tooth pain, hot flashesMedDRA releases: 2024-11 · check-in free text available
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2022-07-17
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2022-07-18
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body achesFree text: Swollen, painful lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2022-07-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2022-07-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
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2022-07-21
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Joint pains, Fatigue or tirednessFree text: Lymph nodes still a little swollenMedDRA releases: 2024-11 · check-in free text available
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2022-07-22
Survey response — day 7, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Joint pains, Fatigue or tirednessFree text: Slightly swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
- 2022-07-29
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2022-08-05
Survey response — day 21, dose 4MedDRA: Abdominal pain upper, Headache, Night sweats — Feeling: FairFree text: Night sweats, headache, stomach acheMedDRA releases: 2024-11 · check-in free text available
- 2022-08-12
- 2022-08-19
- 2022-08-26
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2022-10-14
Survey response — 3 months, dose 4MedDRA: Bronchitis, Sinusitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Sinus infection & bronchitisMedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-18
- 2022-10-18
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2022-12-02
Dose 5 — Moderna
- 2022-12-02
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2022-12-03
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-12-04
Survey response — days 1–6 daily, dose 5MedDRA: Lymphadenopathy, Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint painsFree text: Swollen lymph nodes, congestionMedDRA releases: 2024-11 · check-in free text available
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2022-12-05
Survey response — days 1–6 daily, dose 5MedDRA: Lymphadenopathy, Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, NauseaFree text: Swollen lymph nodes, congestionMedDRA releases: 2024-11 · check-in free text available
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2022-12-06
Survey response — days 1–6 daily, dose 5MedDRA: Asthma, Lymphadenopathy, Nasopharyngitis, Respiratory tract congestion — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal painFree text: Swollen lymph nodes, congestion, asthma (likely have a bad cold)MedDRA releases: 2024-11 · check-in free text available
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2022-12-07
Survey response — days 1–6 daily, dose 5MedDRA: Lymphadenopathy, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work or attend schoolFree text: Swollen Lymph nodes, congestion, sore throat (likely a cold)MedDRA releases: 2024-11 · check-in free text available
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2022-12-09
Survey response — day 7, dose 5MedDRA: Cough, Respiratory tract congestion, Sinusitis — Feeling: Poor · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work or attend schoolFree text: Congestion, coughing (sinus infection)MedDRA releases: 2024-11 · check-in free text available
- 2022-12-16
- 2022-12-23
- 2022-12-30
- 2023-01-06
- 2023-01-14
- 2023-03-03
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Moderna | |
| 2 | 2021-02-28 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-07-15 | Moderna | No |
| 5 | 2022-12-02 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-05 | Unsuccessful | |
| 2022-10-14 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Heart racing, dry mouth
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Skin/Sensory nerve pain
Systemic reaction (other): Swollen, painful lymph node under arm
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph node
Systemic reaction (other): Swollen lymph node
Systemic reaction (other): Swollen lymph node
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Skin sensitivity, tooth pain
Systemic reaction (other): Swollen, red lymph node on neck.
Systemic reaction (other): Red swollen lymph node in neck
Systemic reaction (other): Swollen lymph node in neck
Release 10 — day 28, dose 3
Symptoms: A kidney infection and mastoiditis. Guessing all coincidental and not related to the vaccine though.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Skin pain, tooth pain, hot flashes
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Swollen, painful lymph nodes
Systemic reaction (other): Lymph nodes still a little swollen
Release 12 — day 7, dose 4
Systemic reaction (other): Slightly swollen lymph nodes
Release 12 — day 21, dose 4
Symptoms: Night sweats, headache, stomach ache
Release 12 — 3 months, dose 4
Symptoms: Sinus infection & bronchitis
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Swollen lymph nodes, congestion
Systemic reaction (other): Swollen lymph nodes, congestion
Systemic reaction (other): Swollen lymph nodes, congestion, asthma (likely have a bad cold)
Systemic reaction (other): Swollen Lymph nodes, congestion, sore throat (likely a cold)
Release 12 — day 7, dose 5
Systemic reaction (other): Congestion, coughing (sinus infection)
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 | Abdominal pain upper | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Kidney infection | · | · | ✓ |
| SD | Mastoiditis | · | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Asthma | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Hot flush | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Sensitive skin | · | · | ✓ |
| SRO | Sinusitis | · | · | ✓ |
| SRO | Toothache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release