YC4-75016-95515
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 652 / MO
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-02-06
Registered in v-safe
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
-
2021-02-11
Survey response — day 7, dose 1MedDRA: Dry skin, Injection site dryness — Feeling: Good · Site: ItchingFree text: I have had dry skin recently, but today I have noticed it at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — day 14, dose 1MedDRA: Erythema, Medical counselling, Peripheral swelling, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Area started itching, some swelling and redness that went down halfway the arm; as of today only a little redness remains. I checked with my doctor. Was told I could take Benadryl and use lotion...I only used the lotion. · Healthcare visit (other): I just called my doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-25
Survey response — day 21, dose 1MedDRA: Gallbladder disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Doctor is suspecting gallbladder problems.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-04
-
2021-03-06
Dose 2 — Moderna
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-04
- 2021-04-10
- 2021-04-17
- 2021-06-05
- 2021-08-06
- 2021-09-04
-
2022-03-08
Survey response — 12 months, dose 2MedDRA: Aura, Headache, Office visit, Paranasal sinus discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Headaches/sinus pressure; vision auras almost daily · Healthcare visit (other): In office- eye doctor appointmentMedDRA releases: 2024-11 · check-in free text available
-
2022-03-08
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-18 | Unsuccessful | |
| 2021-02-25 | Unsuccessful | |
| 2022-03-08 | Unsuccessful |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): I have had dry skin recently, but today I have noticed it at the injection site.
Release 4 — day 14, dose 1
Symptoms: Area started itching, some swelling and redness that went down halfway the arm; as of today only a little redness remains. I checked with my doctor. Was told I could take Benadryl and use lotion...I only used the lotion.
Healthcare visit (other): I just called my doctor.
Release 4 — day 21, dose 1
Symptoms: Doctor is suspecting gallbladder problems.
Release 11 — 12 months, dose 2
Symptoms: Headaches/sinus pressure; vision auras almost daily
Healthcare visit (other): In office- eye doctor appointment
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Aura | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Gallbladder disorder | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Dry skin | ✓ | ✓ | ✓ |
| SRO | Injection site dryness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release