TD9-34291-59202
3 vaccinations
2 coded responses
20 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 456 / OH
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Dose 1 — Moderna
-
2021-01-05
Registered in v-safe
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
-
2021-01-18
Survey response — day 14, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: Rash at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-02-01
-
2021-02-02
Dose 2 — Moderna
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2021-03-16
Survey response — day 42, dose 2MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash on my forearm, same arm as injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-04
- 2021-08-03
-
2021-09-09
Dose 3 — Moderna
- 2021-10-25
- 2021-12-09
-
2021-12-21
Call successfulParticipant prefers to complete VAERS report online
- 2022-03-10
- 2022-09-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-09-09 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — day 14, dose 1
Symptoms: Rash at the injection site.
Release 5 — day 42, dose 2
Symptoms: Rash on my forearm, same arm as injection.
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 |
|---|---|---|---|---|
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release