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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

  1. 2021-01-27
    Registered in v-safe
  2. 2021-01-27
    Dose 1 — Moderna
  3. 2021-01-27
    Health check-in — day 0, dose 1
    Feeling: Fair · Nausea · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  5. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-17
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-24
    Dose 2 — Moderna
  9. 2021-02-24
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Vaccination site swelling — Feeling: Good · Site: Redness · Nausea · Be unable to do your normal daily activities
    Free text: Red and swollen where vaccine administered.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nausea — Feeling: Fair · Site: Redness · Nausea, Rash, not including the immediate area around the injection site
    Free text: Just moderate nausia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  13. 2021-08-25
    Survey response — 6 months, dose 2
    MedDRA: Medical counselling, Myocardial infarction, Rehabilitation therapy — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free 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
  14. 2021-08-25
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2022-02-24
    Survey response — 12 months, dose 2
    MedDRA: Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional
    Free 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
  16. 2022-02-24
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2022-02-25
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Moderna
22021-02-24Moderna

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Red and swollen where vaccine administered.

2021-02-26

Systemic reaction (other): Just moderate nausia

Release 9 — 6 months, dose 2

2021-08-25

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

2022-02-24

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ · ✓
HCVOOffice visit · · ✓
HCVORehabilitation therapy ✓ · ✓
SDMyocardial infarction ✓ · ✓
SDOffice visit · · ✓
SDRash · · ✓
SROInjection site erythema ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROVaccination site swelling ✓ ✓ ✓

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