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Z74-91234-02933

2 vaccinations 5 coded responses 15 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
974 / OR
Registered
2021-03-07
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-26
    Dose 1 — Moderna
  2. 2021-03-07
    Registered in v-safe
  3. 2021-03-07
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2021-03-14
    Survey response — day 14, dose 1
    MedDRA: Rash, Rash pruritic — Feeling: Good
    Free text: The itchy hurting rash on my arm grew to 4x the original size. It is almost completely gone now on day 12 after the start of the rash.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-26
    Dose 2 — Moderna
  7. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · None
    Adult check-in
  9. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-16
    Survey response — day 21, dose 2
    MedDRA: Blister — Feeling: Good
    Free text: Large blisters on the underside of my arm that received the vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-09
    Survey response — day 42, dose 2
    MedDRA: Abscess limb — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Large abscess in armpit of the arm where I received my second shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-09
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-06-25
    Survey response — 3 months, dose 2
    MedDRA: Abscess, Surgery — 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
    Free text: Symptoms: 2 more abscesses, making a total of 3, in the armpit of the arm where I received my second vaccination. I have never had an abscess before anywhere including my mouth. · Healthcare visit (other): Surgery to lance one of the abscesses
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-06-25
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  21. 2021-07-01
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Moderna
22021-03-26Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-09 Successful Participant prefers to complete VAERS report online
2021-06-25 Successful
2021-07-01
Participant prefers to complete VAERS report online

Free text

Release 5 — day 14, dose 1

2021-03-14

Symptoms: The itchy hurting rash on my arm grew to 4x the original size. It is almost completely gone now on day 12 after the start of the rash.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Shortness of breath

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Large blisters on the underside of my arm that received the vaccination.

Release 8 — day 42, dose 2

2021-05-09

Symptoms: Large abscess in armpit of the arm where I received my second shot.

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: 2 more abscesses, making a total of 3, in the armpit of the arm where I received my second vaccination. I have never had an abscess before anywhere including my mouth.
Healthcare visit (other): Surgery to lance one of the abscesses

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
HCVOSurgery ✓ ✓ ✓
SDAbscess ✓ ✓ ✓
SDAbscess limb ✓ ✓ ✓
SDBlister ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓

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