5QD-32921-50628
2 vaccinations
1 coded response
7 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 396 / MS
- Registered
- 2021-01-12
- Relationship
- Self
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-14
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-15
- 2021-01-17
- 2021-01-19
-
2021-01-26
Survey response — day 14, dose 1MedDRA: Condition aggravated, Pyrexia, Rash papular, Self-medication, Specialist consultation — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Starting 1/22/2021 I started having a bad rash swollen and fever in left arm where I got the shot I started taking Benadryl and putting ice on it which only work for a few hours ! The swelling rash and fever on the left arm got worst by Saturday · Healthcare visit (other): I tried to go to ER Sunday and was told outpatient nurse was gone I had gone for the day I had to wait til Monday to be seen.. Monday morning came and I called my regular physician which she had me to come right inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-09
Dose 2 — Moderna
- 2021-02-18
-
2021-06-07
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
2 call center cases
1 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — day 14, dose 1
Symptoms: Starting 1/22/2021 I started having a bad rash swollen and fever in left arm where I got the shot I started taking Benadryl and putting ice on it which only work for a few hours ! The swelling rash and fever on the left arm got worst by Saturday
Healthcare visit (other): I tried to go to ER Sunday and was told outpatient nurse was gone I had gone for the day I had to wait til Monday to be seen.. Monday morning came and I called my regular physician which she had me to come right in
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 | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release