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YCR-18194-39209

5 vaccinations 2 coded responses 37 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
606 / IL
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-24
    Dose 1 — Moderna
  2. 2021-02-02
    Registered in v-safe
  3. 2021-02-02
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2021-02-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-20
    Dose 2 — Moderna
  7. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Immunisation, Lymphadenopathy, Office visit — Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Enlarged lymph nodes in breast, underarm and neck, behind the ea, after first dose and more discomfort from 2nd.rom first dose · Healthcare visit (other): Visited my dr on 2/17 re neck node. Didn't make connection to the first Moderna dose. Has been very annoying.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-21
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  11. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  12. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-06
    Survey response — day 14, dose 2
    MedDRA: Eye swelling, Medical counselling, Ocular hyperaemia, Rash — Feeling: Good
    Free text: Red swelling beside and below right eye. This occured on day 11 after my 2nd Moderna dose on my right arm. I took antihistamines for 8 day and then quit. The rash then appeared on day 11 and I began antihistamines again for 7 days per my primary Dr.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-18
  22. 2021-08-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-04
    Dose 3 — Moderna
  24. 2021-10-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-11-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-01-03
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-03-30
    Dose 4 — Moderna
  30. 2022-04-04
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-04-15
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-04-20
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-04-27
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-05-04
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-05-11
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-06-29
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-09-21
    Dose 5 — Moderna
  38. 2022-09-28
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-10-11
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  40. 2022-10-12
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  41. 2022-10-19
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  42. 2022-10-28
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  43. 2022-11-02
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  44. 2022-12-21
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  45. 2023-03-22
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-24Moderna
22021-02-20Moderna
32021-10-04Moderna No
42022-03-30Moderna No
52022-09-21Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-02-21 Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Enlarged lymph nodes in breast, underarm and neck, behind the ea, after first dose and more discomfort from 2nd.rom first dose
Healthcare visit (other): Visited my dr on 2/17 re neck node. Didn't make connection to the first Moderna dose. Has been very annoying.

Release 5 — day 14, dose 2

2021-03-06

Symptoms: Red swelling beside and below right eye. This occured on day 11 after my 2nd Moderna dose on my right arm. I took antihistamines for 8 day and then quit. The rash then appeared on day 11 and I began antihistamines again for 7 days per my primary Dr. cut off by CDC

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
HCVOOffice visit ✓ ✓ ✓
SDEye swelling ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDOcular hyperaemia ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROImmunisation ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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