ZDJ-19244-73202
4 vaccinations
6 coded responses
56 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 021 / MA
- Registered
- 2020-12-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-26
Registered in v-safe
-
2020-12-26
Dose 1 — Moderna
- 2020-12-26
-
2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose increased, Pre-existing disease — Feeling: Good · Site: PainFree text: Blood sugars a bit higher in last 24 hours. I am a type 1 diabeticMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose fluctuation — Feeling: Good · Site: Pain, ItchingFree text: Sugars settled down from yesterdaysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Muscle or body achesAdult check-in
-
2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose increased, Pre-existing disease — Feeling: Good · Site: Pain, ItchingFree text: Sugars still running high on type 1 diabetesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-09
- 2021-01-16
- 2021-01-23
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
- 2021-07-27
-
2021-11-19
Dose 3 — Moderna
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
-
2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Erythema, Joint swelling, Joint warmth, Unevaluable event — Feeling: Fair · Joint pains · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Right knee swollen and painful red and hot today · Healthcare visit (other): Considering emergency room visitMedDRA releases: 2024-11 · check-in free text available
-
2021-11-25
Report sent to call center — days 1–6 daily, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-26
Survey response — day 7, dose 3MedDRA: Arthritis infective, Bursitis, Self-medication — Feeling: Good · Joint pains, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: R knee prepatellar bursitis vs infection. Tx advil and antibiotics.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Survey response — day 14, dose 3MedDRA: Erythema, Headache, Joint swelling, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache today. No fever. Prepatella swelling and redness went down in 3 days. Treated only on day one with 2 doses of advil because I did not want to interfere with vaccine creating a good immune response.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-17
- 2021-12-26
- 2021-12-31
-
2022-01-16
Call successfulParticipant prefers to complete VAERS report online
- 2022-02-18
- 2022-05-20
-
2022-10-08
Dose 4 — Moderna
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-07
- 2022-11-12
- 2022-11-19
- 2023-01-07
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-26 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-10-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-25 | Successful 2022-01-16 |
Participant prefers to complete VAERS report online |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Blood sugars a bit higher in last 24 hours. I am a type 1 diabetic
Systemic reaction (other): Sugars settled down from yesterdays
Systemic reaction (other): Sugars still running high on type 1 diabetes
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Right knee swollen and painful red and hot today
Healthcare visit (other): Considering emergency room visit
Release 10 — day 7, dose 3
Systemic reaction (other): R knee prepatellar bursitis vs infection. Tx advil and antibiotics.
Release 10 — day 14, dose 3
Symptoms: Headache today. No fever. Prepatella swelling and redness went down in 3 days. Treated only on day one with 2 doses of advil because I did not want to interfere with vaccine creating a good immune response.
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 | Erythema | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Arthritis infective | · | · | ✓ |
| SRO | Blood glucose fluctuation | ✓ | ✓ | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Bursitis | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Joint swelling | · | · | ✓ |
| SRO | Joint warmth | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release