2QS-16927-05282
4 vaccinations
7 coded responses
33 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 070 / NJ
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Dose 1 — Moderna
-
2021-02-17
Registered in v-safe
- 2021-02-17
-
2021-02-24
Survey response — day 14, dose 1MedDRA: Hypersensitivity, Injection site erythema, Injection site pruritus, Injection site warmth, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Redness itch slightly warm near injection site day 8-13. Mild allergic reaction face day 11. Improved day 13-14. Lymphatic fluid base of irritation day 13,14. Lessening w/massage. Redness finally gone day 14MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Injection site swelling, Myalgia, Pre-existing disease, Reaction to previous exposure to any vaccine, Self-medication — Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Advised by allergist to start taking antihistamine, Zyrtec, two days before second vaccination through 10 days after. I believe that is helping; plus one regular strength Advil at noon reduced headache and muscle aches to mild. Swelling at injection site is also mild. I received second injection in my thigh due to Lymphedema experienced after first injection in arm. The other arm wouldve had the same problem due to sentinel lymph nodes removed in both armpits.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Headache, Muscle or body achesAdult check-in
- 2021-03-13
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: GoodFree text: All redness at injection site on upper thigh almost gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
-
2021-03-17
Survey response — day 7, dose 2MedDRA: Hypersensitivity, Self-medication — Feeling: GoodFree text: Still taking Zyrtec as recommended by allergist through day 10.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-24
- 2021-06-09
- 2021-09-08
-
2021-10-26
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
- 2021-11-01
- 2021-11-09
- 2022-01-25
-
2022-04-16
Dose 4 — Moderna
-
2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction, Self-medication — Feeling: Good · Site: RednessFree text: Take a Zyrtec two days prior 10 days after injection since second vaccine. That is why symptoms are mild. Injection in thigh to avoid lymphedema.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-23
Survey response — day 7, dose 4MedDRA: Medical counselling, Self-medication — Feeling: Good · Fatigue or tirednessFree text: Still taking Zyrtec per docMedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-05-07
- 2022-05-14
- 2022-05-22
-
2022-05-30
Survey response — day 42, dose 4MedDRA: Emergency care, Malaise, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Very mild covid symptoms. Positive PCR test told me I had Covid. · Healthcare visit (other): Monoclonal antibody infusion add emergency room was recommended by doctorsMedDRA releases: 2024-11 · check-in free text available
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2022-05-30
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-06-01
-
2022-06-01
Call successfulCompleted over the phone
- 2022-07-18
- 2022-10-15
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-16 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — day 14, dose 1
Symptoms: Redness itch slightly warm near injection site day 8-13. Mild allergic reaction face day 11. Improved day 13-14. Lymphatic fluid base of irritation day 13,14. Lessening w/massage. Redness finally gone day 14
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Advised by allergist to start taking antihistamine, Zyrtec, two days before second vaccination through 10 days after. I believe that is helping; plus one regular strength Advil at noon reduced headache and muscle aches to mild. Swelling at injection site is also mild. I received second injection in my thigh due to Lymphedema experienced after first injection in arm. The other arm wouldve had the same problem due to sentinel lymph nodes removed in both armpits.
Systemic reaction (other): All redness at injection site on upper thigh almost gone.
Release 5 — day 7, dose 2
Systemic reaction (other): Still taking Zyrtec as recommended by allergist through day 10.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Take a Zyrtec two days prior 10 days after injection since second vaccine. That is why symptoms are mild. Injection in thigh to avoid lymphedema.
Release 11 — day 7, dose 4
Systemic reaction (other): Still taking Zyrtec per doc
Release 11 — day 42, dose 4
Symptoms: Very mild covid symptoms. Positive PCR test told me I had Covid.
Healthcare visit (other): Monoclonal antibody infusion add emergency room was recommended by doctors
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 | Emergency care | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Medical counselling | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release