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Y63-21218-40468

2 vaccinations 2 coded responses 12 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
836 / ID
Registered
2021-03-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Dose 1 — Moderna
  2. 2021-02-26
    Dose 2 — Moderna
  3. 2021-03-01
    Registered in v-safe
  4. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Adult check-in
  5. 2021-03-01
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Feeling hot, Malaise, Peripheral swelling, Rash — Feeling: Good · Site: Redness, Itching · Headache
    Free text: I actually got my shot last Friday but nobody told me to register with this health report. Saturday I was really sick but no fever and no cough but all the other symptoms. Sunday still sick and fatigued but not as bad and the rash and heat and swelling all over my arm where I received the injection was quite bad. Today is the first day that I was seeing some relief after visiting with my doctor yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · Headache, Rash, not including the immediate area around the injection site
    Adult check-in
  8. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  9. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-13
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Headache — Feeling: Fair
    Free text: Massive headache and 3 days of joint pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-31
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-08-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-16

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Moderna
22021-02-26Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-03-01 Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): I actually got my shot last Friday but nobody told me to register with this health report. Saturday I was really sick but no fever and no cough but all the other symptoms. Sunday still sick and fatigued but not as bad and the rash and heat and swelling all over my arm where I received the injection was quite bad. Today is the first day that I was seeing some relief after visiting with my doctor yesterday.

Release 5 — day 14, dose 2

2021-03-13

Symptoms: Massive headache and 3 days of joint pain.

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
SDArthralgia ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SRORash ✓ ✓ ✓

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