YDS-94435-25988
2 vaccinations
5 coded responses
12 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 191 / PA
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-17
Registered in v-safe
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2021-01-17
Dose 1 — Moderna
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2021-01-17
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
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2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-22
- 2021-01-23
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2021-02-02
Survey response — day 14, dose 1MedDRA: Lymph node pain, Pruritus, Rash — Feeling: GoodFree text: itchiness/rash; tender lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — day 21, dose 1MedDRA: Ear pruritus, Pruritus, Rash — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Ive had pretty intense rashes, itchiness and prickliness all over my body, including in my ears itchiness. Its lasted for several days but Im unsure if its related to this vaccine or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Dose 2 — Moderna
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2021-02-21
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Survey response — day 14, dose 2MedDRA: Eyelid pain, Hordeolum, Swelling of eyelid — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Developed an internal stye on right upper inside eyelid that has been extremely painful and swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-07
Survey response — day 21, dose 2MedDRA: Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 1 week post initial vaccine Ive developed hives all over my body which Ive never experienced before. They are persistent, random, and pretty severe and have no triggers.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — day 35, dose 2MedDRA: Urticaria — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: The hives Ive been experiencing as of 1 week post first vaccine have finally quelled (after 2-3 months.) would love to share more about these as Im sure it was a super rare side effect / no one else I know experienced this. Thanks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-17
- 2021-11-21
- 2021-11-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-14 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-28 | Unsuccessful |
Free text
Release 3 — day 14, dose 1
Symptoms: itchiness/rash; tender lymph nodes
Release 3 — day 21, dose 1
Symptoms: Ive had pretty intense rashes, itchiness and prickliness all over my body, including in my ears itchiness. Its lasted for several days but Im unsure if its related to this vaccine or not.
Release 4 — day 14, dose 2
Symptoms: Developed an internal stye on right upper inside eyelid that has been extremely painful and swollen
Release 5 — day 21, dose 2
Symptoms: 1 week post initial vaccine Ive developed hives all over my body which Ive never experienced before. They are persistent, random, and pretty severe and have no triggers.
Release 6 — day 35, dose 2
Symptoms: The hives Ive been experiencing as of 1 week post first vaccine have finally quelled (after 2-3 months.) would love to share more about these as Im sure it was a super rare side effect / no one else I know experienced this. Thanks.
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 |
|---|---|---|---|---|
| SD | Ear pruritus | ✓ | ✓ | ✓ |
| SD | Eyelid pain | ✓ | ✓ | ✓ |
| SD | Hordeolum | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Swelling of eyelid | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release