YXG-54160-82976
4 vaccinations
9 coded responses
44 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 480 / MI
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-06
Dose 1 — Moderna
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2021-02-09
Registered in v-safe
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2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Tinnitus — Feeling: Fair · Site: Swelling · Be unable to do your normal daily activitiesFree text: Swollen lymph nodes, ringing in earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Swollen lymph nodes in neck · Healthcare visit (other): Tried, didn't get throughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Neck lymph nodes still swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Lymphadenopathy, Unevaluable event — Feeling: Fair · Site: Redness, Swelling · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Swollen, red, lymph nodes in neck · Healthcare visit (other): Want to get something set upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-13
- 2021-02-20
- 2021-02-27
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2021-03-06
Dose 2 — Moderna
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Be unable to do your normal daily activitiesFree text: Rough 36 hours after shot. Much better now. A sore arm is nothing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-03-10
- 2021-03-11
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-06
- 2021-07-20
- 2021-09-04
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2021-10-24
Dose 3 — Moderna
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased, Pain in extremity — Feeling: Good · Site: Pain, Redness, Itching · Be unable to do your normal daily activitiesFree text: Sunday night after the shot the arm pain began. Monday, the day after shot, I developed a fever of 99.8. It did not go down until Tuesday. Pain in arm subsifed by Thursday. I am in no hurry to get another booster.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-08
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
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2022-04-21
Dose 4 — Moderna
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2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Chest pain, Cough — Feeling: Poor · Site: Pain, Swelling · Fever · Headache · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, chest painMedDRA releases: 2024-11 · check-in free text available
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2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Rash — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Rash on stomach. I never get this!MedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Rash, not including the immediate area around the injection siteAdult check-in
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2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
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2022-06-02
Survey response — day 42, dose 4MedDRA: Diarrhoea — Feeling: GoodFree text: DiarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-07-22
- 2022-10-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-10 | Successful | |
| 2021-02-12 | Successful 2021-07-20 |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen lymph nodes, ringing in ears
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen lymph nodes in neck
Healthcare visit (other): Tried, didn't get through
Systemic reaction (other): Neck lymph nodes still swollen
Systemic reaction (other): Swollen, red, lymph nodes in neck
Healthcare visit (other): Want to get something set up
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Rough 36 hours after shot. Much better now. A sore arm is nothing.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sunday night after the shot the arm pain began. Monday, the day after shot, I developed a fever of 99.8. It did not go down until Tuesday. Pain in arm subsifed by Thursday. I am in no hurry to get another booster.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Cough, chest pain
Systemic reaction (other): Rash on stomach. I never get this!
Release 11 — day 42, dose 4
Symptoms: Diarrhea
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 |
|---|---|---|---|---|
| HCVO | Fatigue | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release