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
-
2021-01-19
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
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2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: FairFree 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
- 2021-01-26
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2021-02-02
Survey response — day 14, dose 1MedDRA: 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 consultationFree 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
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2021-02-02
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-09
- 2021-02-16
- 2021-06-17
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2021-06-17
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna |
Call center
| Reported | Outcome | VAERS-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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Telemedicine | ✓ | ✓ | ✓ |
| SD | Cellulitis | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SD | Telemedicine | ✓ | ✓ | ✓ |
| SD | Vaccination site reaction | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release