5GS-17944-74860
2 vaccinations
5 coded responses
27 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 077 / NJ
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
-
2021-01-21
Survey response — day 0, dose 1MedDRA: Flushing — Feeling: Good · Site: PainFree text: My cheeks felt flushedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Feeling hot — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Fatigue or tirednessFree text: Feeling alternating chills then warmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
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2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: SweatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
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2021-03-12
Survey response — day 14, dose 2MedDRA: Injection site pruritus, Pruritus, Self-medication — Feeling: GoodFree text: Yesterday I had Transient intense itching of left upper arm (but approx 6 inches from vaccination site) without rash. Relieved after 1-2 hours with ice and topical steroid cream.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-08-27
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2022-02-26
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I'm pregnant!MedDRA releases: 2024-11 · check-in free text available
-
2022-02-26
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-26 | Unsuccessful |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): My cheeks felt flushed
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Feeling alternating chills then warm
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sweating
Release 5 — day 14, dose 2
Symptoms: Yesterday I had Transient intense itching of left upper arm (but approx 6 inches from vaccination site) without rash. Relieved after 1-2 hours with ice and topical steroid cream.
Release 11 — 12 months, dose 2
Symptoms: I'm pregnant!
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 | Injection site pruritus | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ○ |
| SD | Self-medication | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release