ZJC-10385-11582
2 vaccinations
7 coded responses
15 check-ins
7 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 853 / AZ
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-08
Dose 1 — Moderna
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2021-03-27
Registered in v-safe
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2021-03-27
Survey response — day 14, dose 1MedDRA: Erythema, Feeling hot, Myalgia, Peripheral swelling, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 2 weeks after my shot, I had redness, swelling, warm to touch skin and itching on arm I was given vaccine in. I also had muscle pain in my arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-30
Survey response — day 21, dose 1MedDRA: Arthralgia, Erythema, Pain in extremity, Swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pain in my ankles and lower part of my legs with redness and some swelling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — day 28, dose 1MedDRA: Erythema, Joint swelling, Pain in extremity, Peripheral swelling, Skin warm — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Currently have swelling in legs and ankles just completed antibiotic after 10 days from sudden right arm pain swelling redness and warm to touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-16
Dose 2 — Moderna
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Around the injection site the skin is warm. Similar to the reaction I had from the first injection which was much worse. That reaction actually happened two weeks after my first injection and was put on anti-bioticsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-04-23
- 2021-04-30
- 2021-05-07
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2021-05-14
Survey response — day 28, dose 2MedDRA: Decreased appetite, Diarrhoea, Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had Diarrhea and loss of appetite for 2 days. Felt very tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
- 2021-05-29
- 2021-06-16
- 2021-06-16
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2021-06-16
Call successfulCompleted over the phone
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2021-06-16
Call successfulCompleted over the phone
- 2021-07-16
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2021-10-15
Survey response — 6 months, dose 2MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My upper arms have lots of pain in them periodically throughout the day. I'm unable to hold my hands Up for any long periods of time. Makes it very difficult for combing hair out, blow drying and so forth.MedDRA releases: 2024-11 · check-in free text available
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2021-10-15
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-19
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2021-10-19
Call successfulCompleted over the phone
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2022-04-16
Survey response — 12 months, dose 2MedDRA: Arthralgia, Dysstasia, Muscular weakness, Myalgia, Night sweats, Pain in extremity, Postmenopause — 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 visitFree text: Extreme night sweats even though I'm done with menepause. Weak upper arm strength with pain , Pain in hips and Thigh muscle, joints. Trouble standing straight up right away.MedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-27 | Successful 2021-06-16 |
Completed over the phone |
| 2021-04-05 | Successful 2021-06-16 |
Completed over the phone |
| 2021-10-15 | Successful 2021-10-19 |
Completed over the phone |
| 2022-04-16 | Unsuccessful |
Free text
Release 6 — day 14, dose 1
Symptoms: 2 weeks after my shot, I had redness, swelling, warm to touch skin and itching on arm I was given vaccine in. I also had muscle pain in my arm.
Release 6 — day 21, dose 1
Symptoms: Pain in my ankles and lower part of my legs with redness and some swelling.
Release 6 — day 28, dose 1
Symptoms: Currently have swelling in legs and ankles just completed antibiotic after 10 days from sudden right arm pain swelling redness and warm to touch.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Around the injection site the skin is warm. Similar to the reaction I had from the first injection which was much worse. That reaction actually happened two weeks after my first injection and was put on anti-biotics
Release 8 — day 28, dose 2
Symptoms: Had Diarrhea and loss of appetite for 2 days. Felt very tired.
Release 10 — 6 months, dose 2
Symptoms: My upper arms have lots of pain in them periodically throughout the day. I'm unable to hold my hands Up for any long periods of time. Makes it very difficult for combing hair out, blow drying and so forth.
Release 11 — 12 months, dose 2
Symptoms: Extreme night sweats even though I'm done with menepause. Weak upper arm strength with pain , Pain in hips and Thigh muscle, joints. Trouble standing straight up right away.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dysstasia | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Postmenopause | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release