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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

  1. 2021-03-31
    Dose 1 — Moderna
  2. 2021-04-27
    Registered in v-safe
  3. 2021-04-27
    Survey response — day 21, dose 1
    MedDRA: Eye pruritus, Pre-existing disease, Sneezing — Feeling: Good
    Free text: Seasonal allergies. Itchy eyes, sneezing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-28
    Dose 2 — Moderna
  5. 2021-04-28
    Survey response — day 0, dose 2
    MedDRA: Eye pruritus, Respiratory tract congestion, Seasonal allergy — Feeling: Fair · Headache, Fatigue or tiredness
    Free 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
  6. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  7. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  8. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-07-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2022-04-28
    Survey response — 12 months, dose 2
    MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Pregnancy · Healthcare visit (other): Office visit
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-28
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2022-04-29

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-28Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-04-28 Unsuccessful

Free text

Release 8 — day 21, dose 1

2021-04-27

Symptoms: Seasonal allergies. Itchy eyes, sneezing

Release 8 — day 0, dose 2

2021-04-28

Systemic reaction (other): Congested, itchy eyes. I have had this prior to the shot. Im allergic to pollen.

Release 11 — 12 months, dose 2

2022-04-28

Symptoms: Pregnancy
Healthcare visit (other): 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
HCVOOffice visit · · ✓
SDEye pruritus ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPregnancy · · ✓
SDSneezing ✓ ✓ ✓
SROEye pruritus ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROSeasonal allergy ✓ ✓ ✓

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