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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

  1. 2021-03-24
    Dose 1 — Moderna
  2. 2021-03-29
    Registered in v-safe
  3. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 consultation
    Free 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 dermatologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-29
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Rash is almost gone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-21
    Dose 2 — Moderna
  9. 2021-06-23
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-09-26
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  11. 2022-01-19
    Call successful
    Participant prefers to complete VAERS report online
  12. 2022-01-24
    Dose 3 — Moderna
  13. 2022-03-24
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in
  14. 2022-08-14
    Dose 4 — Moderna
    Co-administered: Flu
  15. 2022-11-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna
22021-04-21Moderna No
32022-01-24Moderna No
42022-08-14Moderna Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-29

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

2021-03-30

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash erythematous ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release