4U5-24415-29683
3 vaccinations
7 coded responses
37 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 500 / IA
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
-
2021-01-06
Survey response — day 0, dose 1MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: Good · Site: PainFree text: Metallic taste within fifteen after receiving vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-21
- 2021-01-29
- 2021-02-03
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site induration, Injection site swelling — Feeling: Good · Site: Pain, Redness, SwellingFree text: The area where I have redness and swelling is hard and about three inches below my injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Feeling hot, Peripheral swelling — Feeling: Good · Site: Pain, Redness, SwellingFree text: The area which is red, warm, and inflamed is about three inches circumference and about three inches below the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Feeling hot, Pruritus, Swelling — Feeling: Good · Site: ItchingFree text: The redness, warmth, and swelling is completely gone today. Only mildly itchy now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-28
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
-
2022-04-27
Dose 3 — Moderna
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2022-04-28
Survey response — days 1–6 daily, dose 3MedDRA: Conjunctivitis — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Developed pink eyeMedDRA releases: 2024-11 · check-in free text available
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2022-04-28
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-04-29
Survey response — days 1–6 daily, dose 3MedDRA: Eye swelling, Ocular hyperaemia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Left eye, same side as injection, is red and swollen.MedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-04-29
Call successfulParticipant prefers to complete VAERS report online
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2022-05-01
Survey response — days 1–6 daily, dose 3MedDRA: Eye disorder — Feeling: Good · Site: Pain, Redness, ItchingFree text: My eye is still recovering but has improved with prescription dropsMedDRA releases: 2024-11 · check-in free text available
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2022-05-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2022-05-03
-
2022-05-03
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-03
- 2022-06-08
- 2022-07-27
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2022-04-27 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Metallic taste within fifteen after receiving vaccine
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): The area where I have redness and swelling is hard and about three inches below my injection site.
Systemic reaction (other): The area which is red, warm, and inflamed is about three inches circumference and about three inches below the injection site.
Systemic reaction (other): The redness, warmth, and swelling is completely gone today. Only mildly itchy now.
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Developed pink eye
Systemic reaction (other): Left eye, same side as injection, is red and swollen.
Systemic reaction (other): My eye is still recovering but has improved with prescription drops
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 |
|---|---|---|---|---|
| SRO | Conjunctivitis | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Eye disorder | · | · | ✓ |
| SRO | Eye swelling | · | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site induration | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Ocular hyperaemia | · | · | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release