2FQ-31565-46363
2 vaccinations
2 coded responses
9 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 928 / CA
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-04-16
Registered in v-safe
-
2021-04-16
Dose 2 — Moderna
-
2021-04-16
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-04-20
- 2021-04-21
-
2021-04-30
Survey response — day 14, dose 2MedDRA: Arthralgia, Cerebrovascular accident, Medical observation, Office visit, Rash, Swelling — Feeling: Fair · Be unable to workFree text: 7days after 2nd dose (04/16)severe rash/swelling causing joints pain leading to urgent care visit 04/24. New rashes on the other arm 04/27. April 28, new rash on back follow by stroke like symptoms leading to ER and overnight at hospitalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
-
2021-10-19
Survey response — 6 months, dose 2MedDRA: Pre-existing disease, Rash, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have rashes very often. In the past I only have rashes if I eat bread and then walk. Now I have it just sitting at my desk. I am going to see an allergist/immune specialist. · Healthcare visit (other): Going to see allergist/immune specialistMedDRA releases: 2024-11 · check-in free text available
-
2021-10-19
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-21
- 2021-10-22
-
2021-10-27
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 8 — day 14, dose 2
Symptoms: 7days after 2nd dose (04/16)severe rash/swelling causing joints pain leading to urgent care visit 04/24. New rashes on the other arm 04/27. April 28, new rash on back follow by stroke like symptoms leading to ER and overnight at hospital
Release 10 — 6 months, dose 2
Symptoms: I have rashes very often. In the past I only have rashes if I eat bread and then walk. Now I have it just sitting at my desk. I am going to see an allergist/immune specialist.
Healthcare visit (other): Going to see allergist/immune specialist
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cerebrovascular accident | ✓ | ✓ | ✓ |
| SD | Medical observation | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release