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YE6-40540-34929

1 vaccination 2 coded responses 6 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
21-25
ZIP prefix
794 / TX
Registered
2021-01-24
Relationship
Self

Timeline

  1. 2021-01-19
    Dose 1 — Moderna
  2. 2021-01-24
    Registered in v-safe
  3. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Fair
    Free text: Main symptoms (reported yesterday) began 8-12 hours after shot and lasted apex 36 hours from onset. Now 6 days past shot with no noticeable symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-26
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Swelling, Itching · Headache
    Adult check-in
  6. 2021-02-02
    Survey response — day 14, dose 1
    MedDRA: Cellulitis, Erythema, Medical counselling, Pain in extremity, Peripheral swelling, Skin warm, Telemedicine, Vaccination site reaction — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Spot around arm got better 5 days post shot, then got worse again 6 days post shot. It was red, hot, hard, swollen, aprx 3 in x 4 in and raised by 1 cm. Teledoc dx cellulitis; Rx antibiotic. second teledoc dx delayed allergic rxn and Rx montekukast. · Healthcare visit (other): I have also set up an appointment with my PCP d/t conflicting information from 2 teledoc visits.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-02
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-02-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-16
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-06-17
  11. 2021-06-17
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-02 Successful
2021-06-17
Participant prefers to complete VAERS report online

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Main symptoms (reported yesterday) began 8-12 hours after shot and lasted apex 36 hours from onset. Now 6 days past shot with no noticeable symptoms.

Release 3 — day 14, dose 1

2021-02-02

Symptoms: Spot around arm got better 5 days post shot, then got worse again 6 days post shot. It was red, hot, hard, swollen, aprx 3 in x 4 in and raised by 1 cm. Teledoc dx cellulitis; Rx antibiotic. second teledoc dx delayed allergic rxn and Rx montekukast. cut off by CDC
Healthcare visit (other): I have also set up an appointment with my PCP d/t conflicting information from 2 teledoc visits.

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
HCVOTelemedicine ✓ ✓ ✓
SDCellulitis ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDSkin warm ✓ ✓ ✓
SDTelemedicine ✓ ✓ ✓
SDVaccination site reaction ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓

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