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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

  1. 2021-03-06
    Dose 1 — Moderna
  2. 2021-04-03
    Dose 2 — Moderna
  3. 2021-04-05
    Registered in v-safe
  4. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Purpura, Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free 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
  5. 2021-04-05
    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. 2021-04-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Purpura — Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection site
    Free 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
  7. 2021-04-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Purpura — Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection site
    Free 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
  8. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-17
    Survey response — day 14, dose 2
    MedDRA: Purpura — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free 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
  12. 2021-04-17
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-04-24
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-05-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-17
    Call successful
    Participant prefers to complete VAERS report online
  18. 2021-07-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-10-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-04-03
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Moderna
22021-04-03Moderna

Call center

ReportedOutcomeVAERS-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

2021-04-05

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.

2021-04-06

Systemic reaction (other): The purpura I reported yesterday is not related to the vaccine.

2021-04-07

Systemic reaction (other): Purpura on face is gone but doctor thinks COULD be related to vaccine.

Release 7 — day 14, dose 2

2021-04-17

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDPurpura ✓ ✓ ✓
SROPurpura ✓ ✓ ✓

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