ZC9-24092-26844
3 vaccinations
8 coded responses
39 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 704 / LA
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
-
2021-02-08
Dose 1 — Moderna
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
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2021-02-22
Survey response — day 14, dose 1MedDRA: Erythema, Eyelid contusion — Feeling: GoodFree text: Red blotch on injected arm around day 10 which has since disappeared. No pain or itch- just red. Mysterious bruised eyelid without cause which has also nearly resolved. No pain or discomfort. Just odd.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
-
2021-03-08
Dose 2 — Moderna
- 2021-03-08
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Limb discomfort, Oedema peripheral, Pain of skin — Feeling: Good · Site: Pain, Redness, SwellingFree text: Very swollen armpit on injection side as of this morning. Tender and uncomfortable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral, Peripheral swelling, Tenderness — Feeling: Good · Site: Pain, Redness, SwellingFree text: Substantial swelling and tenderness of armpit and arm on injection sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral, Swelling — Feeling: Good · Site: Redness, SwellingFree text: Swelling of armpit, arm and side of torsoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Joint swelling, Oedema peripheral, Peripheral swelling — Feeling: Good · Site: SwellingFree text: Armpit, arm and shoulder blade swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: SwellingFree text: Sweilling or armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — day 7, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: SwellingFree text: Armpit swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-06-07
- 2021-09-06
-
2021-11-17
Dose 3 — Moderna
-
2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
-
2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-11-22
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-02-16
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2022-05-18
Survey response — 6 months, dose 3MedDRA: SARS-CoV-2 test positive — 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 consultationFree text: Tested positive for covid on 5/12MedDRA releases: 2024-11 · check-in free text available
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2022-05-18
Report sent to call center — 6 months, dose 3Be 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 · 1 call case(s)
- 2022-05-19
-
2022-05-20
Callback requested for04:15PM ET
-
2022-05-20
Call successfulCompleted over the phone
- 2022-11-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-18 | Successful 2022-05-20 |
Completed over the phone |
Free text
Release 4 — day 14, dose 1
Symptoms: Red blotch on injected arm around day 10 which has since disappeared. No pain or itch- just red. Mysterious bruised eyelid without cause which has also nearly resolved. No pain or discomfort. Just odd.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Very swollen armpit on injection side as of this morning. Tender and uncomfortable.
Systemic reaction (other): Substantial swelling and tenderness of armpit and arm on injection side
Systemic reaction (other): Swelling of armpit, arm and side of torso
Systemic reaction (other): Armpit, arm and shoulder blade swollen
Systemic reaction (other): Sweilling or armpit
Release 5 — day 7, dose 2
Systemic reaction (other): Armpit swelling
Release 11 — 6 months, dose 3
Symptoms: Tested positive for covid on 5/12
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Eyelid contusion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release