5H8-32850-08150
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 865 / AZ
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
-
2021-02-10
Survey response — day 0, dose 2MedDRA: Dry skin, Erythema, Pruritus — Feeling: Good · 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: Reddish, dry itchy skin in neck area. It started about 2 weeks ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Report sent to call center — day 0, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-12
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: Slight headache in the morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: GoodFree text: Slight headache in the a.m.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
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2021-05-12
Survey response — 3 months, dose 2MedDRA: Back pain, Dry skin, Pruritus, Rash, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: My ears hv been ringing off and on. I get pink rash & dry, itchy skin on my front neck area. My back aches now & then when I go for a walk.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-14
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2021-08-11
Survey response — 6 months, dose 2MedDRA: Pre-existing disease, Rash, Rash erythematous, Rash pruritic, Skin irritation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: After I had Covid my ear started ringing. It goes away now & then and starts ringing again. Two wks After I got vaccinated a red itchy rash appeared on my neck, but its gone now. However, it gets irritated whn I wear lacy collared shirts.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-11
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-16
- 2021-08-17
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2021-08-17
Call successfulParticipant prefers to complete VAERS report online
- 2022-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Call center
3 call center cases
3 successful
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Reddish, dry itchy skin in neck area. It started about 2 weeks ago.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Slight headache in the morning
Systemic reaction (other): Slight headache in the a.m.
Release 8 — 3 months, dose 2
Symptoms: My ears hv been ringing off and on. I get pink rash & dry, itchy skin on my front neck area. My back aches now & then when I go for a walk.
Release 9 — 6 months, dose 2
Symptoms: After I had Covid my ear started ringing. It goes away now & then and starts ringing again. Two wks After I got vaccinated a red itchy rash appeared on my neck, but its gone now. However, it gets irritated whn I wear lacy collared shirts.
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Dry skin | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | · | ✓ |
| SD | Rash pruritic | ✓ | · | ✓ |
| SD | Skin irritation | ✓ | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Dry skin | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release