5N3-23813-67844
2 vaccinations
5 coded responses
16 check-ins
5 free-text entries
3 call cases
- Sex
- —
- Age at first dose
- 26-30
- ZIP prefix
- 441 / OH
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Sensory disturbance — Feeling: Good · Site: Pain, ItchingFree text: 4hours after I received the shot, I felt rushed or dizziness, but this subsided after rest and 8 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Poor · HeadacheFree text: A little dizzy spellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2021-01-26
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-27
Survey response — day 7, dose 1MedDRA: Urticaria — Feeling: Poor · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hives. Day 2 of all over my bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-03
Survey response — day 14, dose 1MedDRA: Office visit, Self-medication, Urticaria — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Hives throughout body with the change of body temperature. Total of 7 days experiencing it, 5 days post first dose of vaccine. PCP prescribed 6 days of prednisone. Also taking benedryl and Hydrocortisone cream and not much change. · Healthcare visit (other): Doctor appointment with PCP x2MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-10
- 2021-02-19
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2021-02-28
Dose 2 — Moderna
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2021-02-28
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Chills, Fatigue or tirednessAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-04
- 2021-03-06
- 2021-03-07
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2021-03-15
Survey response — day 14, dose 2MedDRA: Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Hives throughout bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-04-09
- 2022-11-30
- 2022-11-30
- 2022-11-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-28 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-26 | Unsuccessful | |
| 2021-01-27 | Unsuccessful | |
| 2021-02-03 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): 4hours after I received the shot, I felt rushed or dizziness, but this subsided after rest and 8 hours
Systemic reaction (other): A little dizzy spell
Release 2 — day 7, dose 1
Systemic reaction (other): Hives. Day 2 of all over my body
Release 3 — day 14, dose 1
Symptoms: Hives throughout body with the change of body temperature. Total of 7 days experiencing it, 5 days post first dose of vaccine. PCP prescribed 6 days of prednisone. Also taking benedryl and Hydrocortisone cream and not much change.
Healthcare visit (other): Doctor appointment with PCP x2
Release 5 — day 14, dose 2
Symptoms: Hives throughout body
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Sensory disturbance | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release