52Z-24852-07733
4 vaccinations
2 coded responses
8 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 305 / GA
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-03-29
Registered in v-safe
-
2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Medical counselling, Rash erythematous — Feeling: Good · Headache, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): 24 hours after the shot i broke out with a pretty severe red "angry" rash, not on the arm of injection, but rib cages, underneath arms, around the arms. I did have some elective surgery 10 days before, and had asked my doctors office if i was ok to still keep my vaccine appnt and they said i should be fine. I did still have some antibiotic in my system as i completed taking the day before which was a precaution for infection from surgery. · Healthcare visit (other): i called both my surgeons office, and sent pictures, plus spoke to pharmacist where i received the vaccine, plus my dermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash is almost goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-07
-
2021-04-21
Dose 2 — Moderna
- 2021-06-23
- 2021-09-26
-
2022-01-19
Call successfulParticipant prefers to complete VAERS report online
-
2022-01-24
Dose 3 — Moderna
- 2022-03-24
-
2022-08-14
Dose 4 — ModernaCo-administered: Flu
- 2022-11-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna | No |
| 3 | 2022-01-24 | Moderna | No |
| 4 | 2022-08-14 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): 24 hours after the shot i broke out with a pretty severe red "angry" rash, not on the arm of injection, but rib cages, underneath arms, around the arms. I did have some elective surgery 10 days before, and had asked my doctors office if i was ok to still keep my vaccine appnt and they said i should be fine. I did still have some antibiotic in my system as i completed taking the day before which was a precaution for infection from surgery.
Healthcare visit (other): i called both my surgeons office, and sent pictures, plus spoke to pharmacist where i received the vaccine, plus my dermatologist
Systemic reaction (other): Rash is almost gone
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 | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release