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YNF-63139-82705

2 vaccinations 6 coded responses 15 check-ins 6 free-text entries 1 call case
Sex
—
Age at first dose
46-50
ZIP prefix
189 / PA
Registered
2021-01-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-01-29
    Registered in v-safe
  3. 2021-01-29
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Hypersensitivity, Immediate post-injection reaction, Infection, Injection site pain, Injection site pruritus, Injection site swelling, Office visit, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: I had terrible deep pain in both legs 12 hours after the first vaccine from knee to hip. It went away after using medical marijuana. Then 8 days after the first vaccine I had Covid arm at injections site that itched and was swollen. Its ok now. · Healthcare visit (other): I went to (b)(6) urgent care and the doctor told me he thought it was an allergic reaction or infection and put me on antibiotics and a topical and told me not to get 2nd Moderna shot. I now read its normal and my primary care physician Dr (b)(6) said I can get the 2nd vaccine. These urgent care doctors should know about the common reactions and not give false diagnosis or info.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-29
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-13
    Dose 2 — Moderna
  7. 2021-02-13
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  8. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Influenza like illness, Lethargy, Pyrexia — Feeling: Good · Site: Redness, Swelling
    Free text: I had a fever and flu like symptoms that subsided 24 hrs after the 2nd vaccine but I am still on and off lethargic.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  10. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  11. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-22
    Survey response — day 7, dose 2
    MedDRA: Sneezing — Feeling: Good
    Free text: Sneezing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-20
    Survey response — day 35, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Feeling great
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-19
  19. 2021-08-16
    Survey response — 6 months, dose 2
    MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities
    Free text: A terrible cold
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2022-02-13
    Survey response — 12 months, dose 2
    MedDRA: Menstrual disorder — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Horrible menstruel cycle unlike any before.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-13Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-29 Unsuccessful

Free text

Release 3 — day 14, dose 1

2021-01-29

Symptoms: I had terrible deep pain in both legs 12 hours after the first vaccine from knee to hip. It went away after using medical marijuana. Then 8 days after the first vaccine I had Covid arm at injections site that itched and was swollen. Its ok now.
Healthcare visit (other): I went to (b)(6) urgent care and the doctor told me he thought it was an allergic reaction or infection and put me on antibiotics and a topical and told me not to get 2nd Moderna shot. I now read its normal and my primary care physician Dr (b)(6) said I can get the 2nd vaccine. These urgent care doctors should know about the common reactions and not give false diagnosis or info.
redacted (b)(6)

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): I had a fever and flu like symptoms that subsided 24 hrs after the 2nd vaccine but I am still on and off lethargic.

Release 4 — day 7, dose 2

2021-02-22

Systemic reaction (other): Sneezing

Release 6 — day 35, dose 2

2021-03-20

Symptoms: Feeling great

Release 9 — 6 months, dose 2

2021-08-16

Symptoms: A terrible cold

Release 11 — 12 months, dose 2

2022-02-13

Symptoms: Horrible menstruel cycle unlike any before.

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
HCVOHypersensitivity ✓ · ✓
HCVOInfection ✓ · ✓
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDImmediate post-injection reaction ○ ✓ ○
SDInjection site pain ○ ✓ ○
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDMenstrual disorder · · ✓
SDNasopharyngitis ✓ · ✓
SDPain in extremity ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓
SROLethargy ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSneezing ✓ ✓ ✓

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