VKD-23570-59128
2 vaccinations
3 coded responses
8 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 447 / OH
- Registered
- 2021-04-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-27
Registered in v-safe
-
2021-04-27
Survey response — day 21, dose 1MedDRA: Eye pruritus, Pre-existing disease, Sneezing — Feeling: GoodFree text: Seasonal allergies. Itchy eyes, sneezingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Dose 2 — Moderna
-
2021-04-28
Survey response — day 0, dose 2MedDRA: Eye pruritus, Respiratory tract congestion, Seasonal allergy — Feeling: Fair · Headache, Fatigue or tirednessFree text: Congested, itchy eyes. I have had this prior to the shot. Im allergic to pollen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-07-28
-
2022-04-28
Survey response — 12 months, dose 2MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pregnancy · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-28 | Unsuccessful |
Free text
Release 8 — day 21, dose 1
Symptoms: Seasonal allergies. Itchy eyes, sneezing
Release 8 — day 0, dose 2
Systemic reaction (other): Congested, itchy eyes. I have had this prior to the shot. Im allergic to pollen.
Release 11 — 12 months, dose 2
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 | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Seasonal allergy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release