3YV-52710-30676
2 vaccinations
5 coded responses
13 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 371 / TN
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-27
Dose 1 — Moderna
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2021-02-04
Registered in v-safe
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2021-02-04
Survey response — day 7, dose 1MedDRA: Erythema, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Redness has spread to bend of elbow and almost around my upper arm. SEVERE itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — day 14, dose 1MedDRA: Cellulitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Red, itchy patch that grew to cover my entire upper arm, by about day 10 post- vaccine. Found out yesterday it had turned into cellulitis, requiring antibiotics. Feeling better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-17
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2021-02-25
Survey response — day 28, dose 1MedDRA: Erythema, Feeling hot, Pruritus, Swelling — Feeling: FairFree text: Worsening redness, some swelling, still, continuing itching and warmth. This was happening last check-in but nowhere to document unless I chose Worsening of sxs. I wad advised to not take #2 until i see an allergist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Dose 2 — Moderna
- 2021-03-03
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2021-03-10
Survey response — day 7, dose 2MedDRA: Body temperature increased, Chills, Erythema, Pain, Pruritus, Pyrexia, Swelling — Feeling: Good · Site: Redness, Swelling, Itching · Be unable to do your normal daily activitiesFree text: 1 &2 day post vaccine, had body aches, chills, temp 100.5, severe swelling, redness, and itching. Day 8 still itching, some redness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
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2021-03-23
Survey response — day 21, dose 2MedDRA: Pruritus, Scab, Skin discolouration — Feeling: FairFree text: Both arms are still itching moderately, however,are pink but not red. Still some scabby places on both arms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-06-04
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2021-07-19
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-08-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-03-02 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Redness has spread to bend of elbow and almost around my upper arm. SEVERE itching.
Release 4 — day 14, dose 1
Symptoms: Red, itchy patch that grew to cover my entire upper arm, by about day 10 post- vaccine. Found out yesterday it had turned into cellulitis, requiring antibiotics. Feeling better today.
Release 4 — day 28, dose 1
Symptoms: Worsening redness, some swelling, still, continuing itching and warmth. This was happening last check-in but nowhere to document unless I chose Worsening of sxs. I wad advised to not take #2 until i see an allergist.
Release 5 — day 7, dose 2
Systemic reaction (other): 1 &2 day post vaccine, had body aches, chills, temp 100.5, severe swelling, redness, and itching. Day 8 still itching, some redness.
Release 6 — day 21, dose 2
Symptoms: Both arms are still itching moderately, however,are pink but not red. Still some scabby places on both arms.
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 | Cellulitis | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Scab | ✓ | ✓ | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ○ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release