2KV-13058-10305
1 vaccination
2 coded responses
9 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 405 / KY
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
-
2021-01-08
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-08
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Welt formation about 2†in diameter where vaccination was administered - occurred on day of vaccination - redness/swelling increased on Day2 - has not improvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-12
- 2021-01-13
-
2021-01-15
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-01-19
- 2021-01-22
-
2021-01-24
Call successfulParticipant prefers to complete VAERS report online
-
2021-01-24
Call successfulParticipant prefers to complete VAERS report online
- 2021-01-30
-
2021-04-12
Survey response — 3 months, dose 1MedDRA: Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: -tendonopathy (left hand)-pulsatile tinnitus (right ear)Both symptoms started a few days after second COVID vaccine, but may related to pregnancy, and not vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-08 | Successful 2021-01-24 |
Participant prefers to complete VAERS report online |
| 2021-01-10 | Successful 2021-01-24 |
Participant prefers to complete VAERS report online |
| 2021-04-12 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Welt formation about 2†in diameter where vaccination was administered - occurred on day of vaccination - redness/swelling increased on Day2 - has not improved
Release 7 — 3 months, dose 1
Symptoms: -tendonopathy (left hand)-pulsatile tinnitus (right ear)Both symptoms started a few days after second COVID vaccine, but may related to pregnancy, and not vaccine.
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 | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release