63Z-17147-70932
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 077 / NJ
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Dose 1 — Moderna
-
2021-03-17
Registered in v-safe
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-12
Dose 2 — Moderna
-
2021-04-19
Survey response — day 7, dose 2MedDRA: Cellulitis, Office visit — Feeling: Good · Site: Swelling · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Got cellulitis 3 days after 2nd shot · Healthcare visit (other): Regular doctor visit and prescribed clindamycinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Report sent to call center — day 7, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-26
- 2021-05-03
- 2021-05-10
-
2021-05-17
Survey response — day 35, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Felt like I was coming down with a cold or allergy. I rested and it went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
-
2021-07-12
Survey response — 3 months, dose 2MedDRA: Sinusitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sinus infection. It is beginning to clear up. Have had symptoms several times since last check in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-11
- 2022-04-04
-
2022-04-12
Survey response — 12 months, dose 2MedDRA: Fatigue, Pain in extremity, Rash, Respiratory tract infection bacterial, SARS-CoV-2 test negative — Feeling: GoodFree text: Bacterial infection in lungs. Was put on medication.Took home test for covid. Was negative. Second booster was given Dec 13, 2021. Rash on arm. Took over 1 week to go away. Felt tired 1 day later. Arm a bit sore.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-19
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 7 — day 7, dose 2
Systemic reaction (other): Got cellulitis 3 days after 2nd shot
Healthcare visit (other): Regular doctor visit and prescribed clindamycin
Release 8 — day 35, dose 2
Symptoms: Felt like I was coming down with a cold or allergy. I rested and it went away.
Release 9 — 3 months, dose 2
Symptoms: Sinus infection. It is beginning to clear up. Have had symptoms several times since last check in.
Release 11 — 12 months, dose 2
Symptoms: Bacterial infection in lungs. Was put on medication.Took home test for covid. Was negative. Second booster was given Dec 13, 2021. Rash on arm. Took over 1 week to go away. Felt tired 1 day later. Arm a bit sore.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Respiratory tract infection bacterial | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Cellulitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release