ZA3-23555-07928
4 vaccinations
5 coded responses
27 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 342 / FL
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
- 2021-01-30
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising, Pain in extremity — Feeling: Good · Site: PainFree text: Arm became a bit sore beginning a little more than 24 hours after injection was given. Also noticed today some slight bruising around injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: (See above; the mild pain I developed around the injection site about 30 hrs later only lasted for about 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
-
2021-02-24
Dose 2 — Moderna
- 2021-02-26
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: a little itchy late yesterday & earlier today (although I had to get a pet scan the morning following my 2nd vaccination; so perhaps whatever all was in my system between thise 2 things possibly caused the itchiness???MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-05-26
Survey response — 3 months, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: enlarged lymph node(s) under my left arm shortly after vaccine. My M.D. (Oncologist) watching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-25
Survey response — 6 months, dose 2MedDRA: Lung neoplasm malignant, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: health condition - malignant lower left lung nodule · Healthcare visit (other): scheduled lung surgery 9/10/21MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-29
Dose 3 — Moderna
- 2021-09-01
- 2021-11-28
- 2022-02-27
-
2022-04-11
Dose 4 — Moderna
- 2022-04-14
- 2022-04-15
- 2022-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-08-29 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-25 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Arm became a bit sore beginning a little more than 24 hours after injection was given. Also noticed today some slight bruising around injection site.
Systemic reaction (other): (See above; the mild pain I developed around the injection site about 30 hrs later only lasted for about 2 days
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): a little itchy late yesterday & earlier today (although I had to get a pet scan the morning following my 2nd vaccination; so perhaps whatever all was in my system between thise 2 things possibly caused the itchiness???
Release 8 — 3 months, dose 2
Symptoms: enlarged lymph node(s) under my left arm shortly after vaccine. My M.D. (Oncologist) watching.
Release 9 — 6 months, dose 2
Symptoms: health condition - malignant lower left lung nodule
Healthcare visit (other): scheduled lung surgery 9/10/21
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Lung neoplasm malignant | ✓ | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release