XX3-22545-68043
2 vaccinations
7 coded responses
22 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 307 / GA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-03
- 2021-02-10
-
2021-02-18
Survey response — 21 day, dose 1MedDRA: Erythema, Pruritus — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-24
-
2021-03-02
Dose 2 — Moderna
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Fibromyalgia, Pre-existing disease, Urticaria — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to workMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Abdominal painAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria — Feeling: Good · Site: Itching · Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-09
Survey response — 7 day, dose 2MedDRA: Urticaria — Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-16
Survey response — 14 day, dose 2MedDRA: Office visit, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-03-16
Report sent to call center — 14 day, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-23
- 2021-03-30
- 2021-04-06
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2021-04-14
Survey response — 42 day, dose 2MedDRA: Gastric disorder, Hypoaesthesia, Office visit, Skin burning sensation, Skin erosion — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-14
Report sent to call center — 42 day, dose 2Get care from a doctor or other healthcare professionalno matching call case
- 2021-06-01
- 2021-08-31
- 2021-12-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-03-02 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-16 | Unsuccessful |
1 report(s) with no call case — see the timeline.
Free text
Release 4
Symptoms: A door it my arm and I said ouch! I couldnt figure out why it started turning red and itching forgetting I had the vaccine. Input some ice and cortisone on it it and the itch went away but the redness was there for about 4 days. Im better!
Release 5
Systemic reaction (other): Ive been having trouble with my stomach before I took the vaccine. So, I think this may be me having caught a virus.
Systemic reaction (other): I have utacaria (hives). So, I have been breaking out on different parts of my body. I should have taken the vaccine shot in my right arm again because the left side of my body I have fibromyalgia.
Systemic reaction (other): I have utacria hives. So, Im dealing with that!
Systemic reaction (other): Im still dealing with my hives.
Symptoms: Im breaking out in hives daily due to having utacaria. Nothing to do with the vaccine.
Healthcare visit (other): Allergy doctors office visit
Release 7
Symptoms: Inside of my body, my skin is nummy, burning and raw. My doctor says that my white blood count (cells) are at a level of 13 which is not good. She prescribed antibiotics.My face and entire body feels nummy which is scary too. Stomach issues continues cut off by CDC
Healthcare visit (other): I went primary health care doctor and rheumatologist.
Free-text releases are not linked to a specific 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 | Erythema | ✓ | ✓ | ✓ |
| SD | Gastric disorder | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Skin burning sensation | ✓ | ✓ | ✓ |
| SD | Skin erosion | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release