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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

  1. 2021-01-12
    Registered in v-safe
  2. 2021-01-12
    Dose 1 — Moderna
  3. 2021-01-12
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-14
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  7. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-26
    Survey response — day 14, dose 1
    MedDRA: 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 visit
    Free 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 in
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-26
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-02-09
    Dose 2 — Moderna
  12. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-06-07
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-26

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

FieldPreferred term2021-092023-042024-11
HCVOSpecialist consultation ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRash papular ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓

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