6S4-12640-29144
2 vaccinations
4 coded responses
11 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 453 / OH
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
-
2021-01-27
Health check-in — day 0, dose 1Feeling: Fair · Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-28
- 2021-02-01
- 2021-02-13
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Vaccination site swelling — Feeling: Good · Site: Redness · Nausea · Be unable to do your normal daily activitiesFree text: Red and swollen where vaccine administered.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Nausea — Feeling: Fair · Site: Redness · Nausea, Rash, not including the immediate area around the injection siteFree text: Just moderate nausiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
-
2021-08-25
Survey response — 6 months, dose 2MedDRA: Medical counselling, Myocardial infarction, Rehabilitation therapy — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Had a heart attack on May 24 2021. · Healthcare visit (other): Had home health care from (b)(6) and now finishing Rehab at (b)(6) now.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-02-24
Survey response — 12 months, dose 2MedDRA: Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Rash on legs and chest that wouldn't go away but went to my doctor who prescribed a lotion that I put on rash and it is getting better each day. This is 4th day that I put lotion on rash and it is fading out more each day. · Healthcare visit (other): My doctor's office visit.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-24
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-02-25
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Red and swollen where vaccine administered.
Systemic reaction (other): Just moderate nausia
Release 9 — 6 months, dose 2
Symptoms: Had a heart attack on May 24 2021.
Healthcare visit (other): Had home health care from (b)(6) and now finishing Rehab at (b)(6) now.
redacted (b)(6)
Release 11 — 12 months, dose 2
Symptoms: Rash on legs and chest that wouldn't go away but went to my doctor who prescribed a lotion that I put on rash and it is getting better each day. This is 4th day that I put lotion on rash and it is fading out more each day.
Healthcare visit (other): My doctor's office visit.
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 | Medical counselling | ✓ | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Rehabilitation therapy | ✓ | · | ✓ |
| SD | Myocardial infarction | ✓ | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Vaccination site swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release