Y7Y-69910-56998
2 vaccinations
4 coded responses
14 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 956 / CA
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Dose 1 — Moderna
-
2021-04-03
Dose 2 — Moderna
-
2021-04-05
Registered in v-safe
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Purpura, Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Purpura under eyes and on nose. · Healthcare visit (other): Waiting for response from my doctor but I suspect I will have a phone appointment, possibly dermatology. Not sure if this is related to vaccine, but odd that it happened now - first time ever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Purpura — Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection siteFree text: The purpura I reported yesterday is not related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Purpura — Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection siteFree text: Purpura on face is gone but doctor thinks COULD be related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-09
- 2021-04-10
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2021-04-17
Survey response — day 14, dose 2MedDRA: Purpura — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Purpura has appeared on my face a second time. Never had it before, have had it twice since receiving Moderna vaccine. A strong sneeze brought puddles of blood to my face just under my skin surface. Blood went away within 12 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
-
2021-06-17
Call successfulParticipant prefers to complete VAERS report online
- 2021-07-03
- 2021-10-02
- 2022-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-05 | Successful | Participant prefers to complete VAERS report online |
| 2021-04-17 | Successful 2021-06-17 |
Participant prefers to complete VAERS report online |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Purpura under eyes and on nose.
Healthcare visit (other): Waiting for response from my doctor but I suspect I will have a phone appointment, possibly dermatology. Not sure if this is related to vaccine, but odd that it happened now - first time ever.
Systemic reaction (other): The purpura I reported yesterday is not related to the vaccine.
Systemic reaction (other): Purpura on face is gone but doctor thinks COULD be related to vaccine.
Release 7 — day 14, dose 2
Symptoms: Purpura has appeared on my face a second time. Never had it before, have had it twice since receiving Moderna vaccine. A strong sneeze brought puddles of blood to my face just under my skin surface. Blood went away within 12 hours.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Purpura | ✓ | ✓ | ✓ |
| SRO | Purpura | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release