WFN-22060-38449
1 vaccination
4 coded responses
10 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 017 / MA
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Moderna
-
2021-01-31
Registered in v-safe
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Peripheral swelling, Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Arm swelling and itching in 3 areas outside the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Survey response — day 7, dose 1MedDRA: Swelling, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Swelling/hives on both armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
-
2021-02-21
Survey response — day 21, dose 1MedDRA: Oedema peripheral, Urticaria — Feeling: GoodFree text: Continue to get sporadic hives and swelling, mainly on my arms, but not at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — day 28, dose 1MedDRA: Furuncle, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Still getting skin rash and bubbling outside the injection site. New areas continue to pop up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-16
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-01 | Successful 2021-03-16 |
Participant prefers to complete VAERS report online |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Arm swelling and itching in 3 areas outside the injection site.
Release 3 — day 7, dose 1
Systemic reaction (other): Swelling/hives on both arms
Release 4 — day 21, dose 1
Symptoms: Continue to get sporadic hives and swelling, mainly on my arms, but not at the injection site.
Release 4 — day 28, dose 1
Symptoms: Still getting skin rash and bubbling outside the injection site. New areas continue to pop up.
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 | Furuncle | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release