42Q-23094-66859
2 vaccinations
4 coded responses
8 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 441 / OH
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
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2021-01-30
Survey response — day 7, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site urticaria, Urticaria — Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: A few hives on lower arms days 5 to 9 after shot. Hive-like blotch near injection shot started day 9. It's larger today, slightly itchy and a very faint pink. These few hives do not bother me much at all. I just want to know that i can get my second shot. I read online that the hive-like splotch near injection site is being called "covid arm," is not serious, and will not mean I can't get a second shot. I very much want to get it. Can you advise?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Dose 2 — Moderna
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Chills, sweatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-03-04
- 2021-03-18
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2021-03-25
Survey response — day 35, dose 2MedDRA: Eye pain, Lacrimation increased, Urticaria — Feeling: Poor · 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: Since i got my second shot my eyes have beeon very sore and tear constantly to the point that tears run down mybface. I've never had this before. I also had hives for over 30 days after the first sot but they have gone away. Will my eyes get better?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-01
Survey response — day 42, dose 2MedDRA: Eye pain, Lacrimation increased — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Constant watering, sore eyes since second Moderna shot on 2/17. Will this go away?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Report sent to call center — day 42, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-09
Call successfulCompleted over the phone
- 2021-08-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): A few hives on lower arms days 5 to 9 after shot. Hive-like blotch near injection shot started day 9. It's larger today, slightly itchy and a very faint pink. These few hives do not bother me much at all. I just want to know that i can get my second shot. I read online that the hive-like splotch near injection site is being called "covid arm," is not serious, and will not mean I can't get a second shot. I very much want to get it. Can you advise?
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Chills, sweating
Release 6 — day 35, dose 2
Symptoms: Since i got my second shot my eyes have beeon very sore and tear constantly to the point that tears run down mybface. I've never had this before. I also had hives for over 30 days after the first sot but they have gone away. Will my eyes get better? cut off by CDC
Release 6 — day 42, dose 2
Symptoms: Constant watering, sore eyes since second Moderna shot on 2/17. Will this go away?
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 | Eye pain | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site urticaria | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release