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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

  1. 2021-01-12
    Dose 1 — Moderna
  2. 2021-02-05
    Dose 2 — Moderna
  3. 2021-02-06
    Registered in v-safe
  4. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  7. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site pruritus, Medical counselling, Nausea, Rash — Feeling: Fair · Site: Redness, Itching · Get care from a doctor or other healthcare professional
    Free 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 help
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-09
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 site
    Free text: Why is the rash still visible since Friday 2/5
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  11. 2021-02-12
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  12. 2021-02-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-07-17

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-05Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-09 Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-09

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

2021-02-10

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRORash ✓ ✓ ✓

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