4D8-10008-72441
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 198 / DE
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-17
Registered in v-safe
-
2021-01-17
Dose 1 — Moderna
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-23
-
2021-01-24
Survey response — day 7, dose 1MedDRA: Genital ulceration, Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: The palms of my hands have been itching and I have developed a sore on my genetalia but I'm not sexually active and haven't been for more than 3.5 years and don't have genital herpes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Survey response — day 14, dose 1MedDRA: Adverse reaction, Condition aggravated, Genital lesion, Medical counselling, Pre-existing disease, Pruritus, Self-medication, Stomatitis — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore in mouth and genital area and itchy palms from polyarteritis nodosa most likely activated by vaccine because I ran out of OTC allergy medication. · Healthcare visit (other): Called pcp and followed his directions to restart OTC Allergy medication and use hydrocortisone cream which stopped symptoms within a few days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-07
- 2021-02-14
- 2021-02-21
-
2021-02-24
Dose 2 — Moderna
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-02
- 2021-03-03
-
2021-03-10
Survey response — day 14, dose 2MedDRA: Genital ulceration, Self-medication, Vaccine positive rechallenge, Vulval ulceration — Feeling: GoodFree text: Just like my 1st vaccine 1 and 1/2 weeks after the injection I developed the start of a sore in my genital/vulvar area. I took large doses of zinc and used hydrocortisone cream and it was gone in 2 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-05-27
-
2021-05-27
Call successfulCompleted over the phone
- 2022-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): The palms of my hands have been itching and I have developed a sore on my genetalia but I'm not sexually active and haven't been for more than 3.5 years and don't have genital herpes.
Release 3 — day 14, dose 1
Symptoms: Sore in mouth and genital area and itchy palms from polyarteritis nodosa most likely activated by vaccine because I ran out of OTC allergy medication.
Healthcare visit (other): Called pcp and followed his directions to restart OTC Allergy medication and use hydrocortisone cream which stopped symptoms within a few days.
Release 5 — day 14, dose 2
Symptoms: Just like my 1st vaccine 1 and 1/2 weeks after the injection I developed the start of a sore in my genital/vulvar area. I took large doses of zinc and used hydrocortisone cream and it was gone in 2 days.
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 |
|---|---|---|---|---|
| HCVO | Adverse reaction | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Self-medication | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Genital lesion | ✓ | ✓ | ✓ |
| SD | Genital ulceration | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Stomatitis | ✓ | ✓ | ✓ |
| SD | Vaccine positive rechallenge | ✓ | · | ✓ |
| SD | Vulval ulceration | ✓ | ✓ | ✓ |
| SRO | Genital ulceration | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release