4V8-30324-14012
1 vaccination
3 coded responses
4 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 447 / OH
- Registered
- 2021-01-22
- Relationship
- Self
Timeline
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2021-01-14
Dose 1 — Moderna
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2021-01-22
Registered in v-safe
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2021-01-22
Survey response — day 7, dose 1MedDRA: Chest pain — Feeling: Fair · Site: Redness, SwellingFree text: A little chest pain not sure if it is related to it or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — day 14, dose 1MedDRA: Pruritus, Rash, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I itch. A week after I was vaccinated I had a welt on my arm and I had a light rash cone and go. My biggest complaint is the itching that came with it. Mostly itch at night. Very strange. Should I get the second vaccine??MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-06
Survey response — day 21, dose 1MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have a rash since receiving the vaccine. It comes and goes it is not horrible. Mostly on my arms sometimes on my hands and feet. It does itch. I can live with it however do I get the second vaccine??? Please advise. It is this Thursday?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-13
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2021-05-28
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): A little chest pain not sure if it is related to it or not.
Release 2 — day 14, dose 1
Symptoms: I itch. A week after I was vaccinated I had a welt on my arm and I had a light rash cone and go. My biggest complaint is the itching that came with it. Mostly itch at night. Very strange. Should I get the second vaccine??
Release 3 — day 21, dose 1
Symptoms: I have a rash since receiving the vaccine. It comes and goes it is not horrible. Mostly on my arms sometimes on my hands and feet. It does itch. I can live with it however do I get the second vaccine??? Please advise. It is this Thursday?
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 | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release