3EU-18070-62882
3 vaccinations
6 coded responses
26 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 087 / NJ
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
-
2021-02-01
Survey response — day 14, dose 1MedDRA: Injection site rash, Self-medication — Feeling: GoodFree text: Injection site rash appeared on day 8 post injection. Itchy red rash lasted several days, but improved almost immediately with oral benadryl and topical cortisone cream. Was a bit frightening and I would like to know if this poses a prob for inj #2MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
-
2021-02-15
Dose 2 — Moderna
-
2021-02-15
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · HeadacheAdult check-in
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: Small area on injection arm but separate from injection site and lower on the arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection siteFree text: Slight fading rash lower than injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: The small rash on my arm lower than injection site is barely visable. No itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-03-01
- 2021-03-08
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2021-03-15
Survey response — day 28, dose 2MedDRA: Chills, Nausea, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Low fever, chills, nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
- 2021-05-17
- 2021-08-16
-
2021-12-20
Dose 3 — Moderna
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2022-02-15
Survey response — 12 months, dose 2MedDRA: Diverticulitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Diverticulitis-not covid related.MedDRA releases: 2024-11 · check-in free text available
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2022-02-15
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-02-17
Call successfulDoes not wish to fill out VAERS report
- 2022-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-12-20 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 3 — day 14, dose 1
Symptoms: Injection site rash appeared on day 8 post injection. Itchy red rash lasted several days, but improved almost immediately with oral benadryl and topical cortisone cream. Was a bit frightening and I would like to know if this poses a prob for inj #2 cut off by CDC
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Small area on injection arm but separate from injection site and lower on the arm.
Systemic reaction (other): Slight fading rash lower than injection site.
Systemic reaction (other): The small rash on my arm lower than injection site is barely visable. No itching.
Release 5 — day 28, dose 2
Symptoms: Low fever, chills, nausea
Release 11 — 12 months, dose 2
Symptoms: Diverticulitis-not covid related.
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 | Chills | ✓ | ✓ | ✓ |
| SD | Diverticulitis | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release