YCR-20795-00478
2 vaccinations
2 coded responses
8 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 108 / NY
- Registered
- 2021-02-06
- Relationship
- Self
Timeline
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2021-01-12
Dose 1 — Moderna
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2021-02-05
Dose 2 — Moderna
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2021-02-06
Registered in v-safe
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site pruritus, Medical counselling, Nausea, Rash — Feeling: Fair · Site: Redness, Itching · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): The redness around the injection site is from the site to the elbow; I am somewhat concerned; itchy but it was not this wide with the first injection vax. Wish someone could call me and say not to worry. No temp, very very mild nausea but the extensive rash trouble me me · Healthcare visit (other): Called the hospital where I rcvd 1&2 vax shots..bit referred me to my private physician who said it was normal I was qualified bc I teach, am 79 and have a stent in my heart. Thanx..these daily questions helpMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
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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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Why is the rash still visible since Friday 2/5MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-02-12
- 2021-02-19
- 2021-07-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-09 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): The redness around the injection site is from the site to the elbow; I am somewhat concerned; itchy but it was not this wide with the first injection vax. Wish someone could call me and say not to worry. No temp, very very mild nausea but the extensive rash trouble me me
Healthcare visit (other): Called the hospital where I rcvd 1&2 vax shots..bit referred me to my private physician who said it was normal I was qualified bc I teach, am 79 and have a stent in my heart. Thanx..these daily questions help
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Why is the rash still visible since Friday 2/5
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 | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release