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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

  1. 2021-01-27
    Dose 1 — Moderna
  2. 2021-02-04
    Registered in v-safe
  3. 2021-02-04
    Survey response — day 7, dose 1
    MedDRA: Erythema, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Free 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
  4. 2021-02-10
    Survey response — day 14, dose 1
    MedDRA: 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 consultation
    Free 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
  5. 2021-02-10
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-02-17
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-25
    Survey response — day 28, dose 1
    MedDRA: Erythema, Feeling hot, Pruritus, Swelling — Feeling: Fair
    Free 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
  8. 2021-03-02
    Dose 2 — Moderna
  9. 2021-03-03
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-10
    Survey response — day 7, dose 2
    MedDRA: Body temperature increased, Chills, Erythema, Pain, Pruritus, Pyrexia, Swelling — Feeling: Good · Site: Redness, Swelling, Itching · Be unable to do your normal daily activities
    Free 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
  11. 2021-03-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-23
    Survey response — day 21, dose 2
    MedDRA: Pruritus, Scab, Skin discolouration — Feeling: Fair
    Free 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
  13. 2021-03-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-19
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  18. 2021-08-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Moderna
22021-03-02Moderna

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 3 — day 7, dose 1

2021-02-04

Systemic reaction (other): Redness has spread to bend of elbow and almost around my upper arm. SEVERE itching.

Release 4 — day 14, dose 1

2021-02-10

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

2021-02-25

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

2021-03-10

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

2021-03-23

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

FieldPreferred term2021-092023-042024-11
SDCellulitis ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDScab ✓ ✓ ✓
SDSkin discolouration ✓ ✓ ✓
SDSwelling ✓ ✓ ✓
SROBody temperature increased ✓ ✓ ○
SROChills ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROPyrexia · · ✓
SROSwelling ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release