3VK-61735-37475
4 vaccinations
5 coded responses
54 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 921 / CA
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 1 — Moderna
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
-
2021-04-10
Survey response — day 14, dose 1MedDRA: Injection site paraesthesia, Injection site pruritus — Feeling: GoodFree text: On day 9 an area about 3 in diameter around my injection site was tingling/itchy and a pinkish red color. The tingling/itchy feeling subsided after about 4 hrs and the pinkish red color diminished over the next 3-4 days (Covid arm?).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-24
-
2021-04-27
Dose 2 — Moderna
- 2021-04-27
- 2021-04-28
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Rash erythematous — Feeling: Good · Site: RednessFree text: After 1st dose got Covid arm on day 9. The redness today is very similar but covers a larger area than the first time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-07-27
- 2021-10-26
-
2021-12-01
Dose 3 — Moderna
- 2021-12-01
-
2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-12
- 2022-03-02
- 2022-06-01
-
2022-07-23
Dose 4 — Moderna
- 2022-07-23
-
2022-07-24
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: The above symptoms were moderate between hours 9 and 24 after getting the booster and are now between mild and moderate.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-07-30
-
2022-08-08
Survey response — day 14, dose 4MedDRA: Cystitis, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bladder infection/UTIMedDRA releases: 2024-11 · check-in free text available
-
2022-08-08
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-09
-
2022-08-09
Call successfulCompleted over the phone
- 2022-08-13
-
2022-08-30
Survey response — day 35, dose 4MedDRA: Rash, Urinary tract infection, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Related to previously reported UTI 2 days after stopping antibiotic I developed a rash/hives. Have appt with allergist to confirm if related to the antibiotic.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-30
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-31
- 2022-09-03
- 2022-10-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
| 4 | 2022-07-23 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 7 — day 14, dose 1
Symptoms: On day 9 an area about 3 in diameter around my injection site was tingling/itchy and a pinkish red color. The tingling/itchy feeling subsided after about 4 hrs and the pinkish red color diminished over the next 3-4 days (Covid arm?).
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): After 1st dose got Covid arm on day 9. The redness today is very similar but covers a larger area than the first time.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): The above symptoms were moderate between hours 9 and 24 after getting the booster and are now between mild and moderate.
Release 12 — day 14, dose 4
Symptoms: Bladder infection/UTI
Release 12 — day 35, dose 4
Symptoms: Related to previously reported UTI 2 days after stopping antibiotic I developed a rash/hives. Have appt with allergist to confirm if related to the antibiotic.
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 | Cystitis | · | · | ✓ |
| SD | Injection site paraesthesia | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release