2DS-16379-26023
2 vaccinations
3 coded responses
11 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 730 / OK
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Dose 1 — Moderna
-
2021-02-28
Registered in v-safe
-
2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-02
-
2021-03-04
Survey response — day 7, dose 1MedDRA: Lip swelling — Feeling: Good · Site: Redness, Swelling, Itching · FeverFree text: Lips a bit swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — day 14, dose 1MedDRA: Feeling hot, Injection site erythema, Injection site rash, Pruritus — Feeling: GoodFree text: Large red raised Circular rash near injection site. Almost looked like a very large ringworm. Was hot to the touch and very itchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
-
2021-04-05
Dose 2 — Moderna
- 2021-04-05
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Muscle or body achesAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · Muscle or body achesAdult check-in
- 2021-04-10
-
2021-07-05
Survey response — 3 months, dose 2MedDRA: Colitis, Digestive enzyme abnormal, Gastrointestinal disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Colitis and digestive issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-05
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-05 | Unsuccessful |
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Lips a bit swollen
Release 5 — day 14, dose 1
Symptoms: Large red raised Circular rash near injection site. Almost looked like a very large ringworm. Was hot to the touch and very itchy
Release 9 — 3 months, dose 2
Symptoms: Colitis and digestive issues
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 | Colitis | ✓ | ✓ | ✓ |
| SD | Digestive enzyme abnormal | ✓ | ✓ | ○ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release