2EK-12406-71912
3 vaccinations
3 coded responses
30 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 013 / MA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
-
2021-03-25
Survey response — day 14, dose 2MedDRA: Emergency care, Herpes zoster, Rash, Rash pruritic — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: I was seen in the ER 3/21 and was dxd with Shingles believed to be caused by the COVID vaccine received 3/11. Itching on Rt Arm 3/17 and rash developed 3/19. Very painful and itchy localized mostly to the forearm to finger tips of digits 1st and 2MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-06-10
-
2021-09-09
Survey response — 6 months, dose 2MedDRA: Adverse reaction, Arthralgia, Cough, Head discomfort, Office visit, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Joint Pain, Fever no higher 102.4f, Head Pressure x 4 days. Cough remains. Other symptoms began 08/31/2021. Covid test performed 09/02/2021 via Employee Health, Negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-25
Dose 3 — Moderna
- 2022-03-11
- 2022-03-11
- 2022-04-28
- 2022-07-26
-
2023-01-25
Survey response — 12 months, dose 3MedDRA: Gestational diabetes — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-25
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2022-01-25 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-25 | Unsuccessful |
Free text
Release 6 — day 14, dose 2
Symptoms: I was seen in the ER 3/21 and was dxd with Shingles believed to be caused by the COVID vaccine received 3/11. Itching on Rt Arm 3/17 and rash developed 3/19. Very painful and itchy localized mostly to the forearm to finger tips of digits 1st and 2
Release 9 — 6 months, dose 2
Symptoms: Joint Pain, Fever no higher 102.4f, Head Pressure x 4 days. Cough remains. Other symptoms began 08/31/2021. Covid test performed 09/02/2021 via Employee Health, Negative.
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 | Adverse reaction | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Gestational diabetes | · | · | ✓ |
| SD | Head discomfort | · | · | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release