YEU-47648-22364
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 371 / TN
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-04
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Epistaxis — Feeling: Good · Site: PainFree text: Yes, I should have reported this yesterday but didnt think about it until after I submitted but I had a nose bleed Sunday for the first time. Ever. Ive never had a nose bleed before but I had one unexplained. Dont know if related to vaccine but thought I better mention it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-08
-
2021-04-12
Survey response — day 7, dose 2MedDRA: Pre-existing disease, Psoriasis — Feeling: Good · Joint painsFree text: My psoriasis is really bad-worse than its been in a long timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-25
-
2021-04-30
Survey response — day 28, dose 2MedDRA: Pre-existing disease, Psoriasis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have had psoriasis for about 10 years but this last week has been the worst it has ever been.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-09
- 2021-05-14
- 2021-07-02
- 2021-10-01
- 2022-04-02
- 2022-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-30 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Yes, I should have reported this yesterday but didnt think about it until after I submitted but I had a nose bleed Sunday for the first time. Ever. Ive never had a nose bleed before but I had one unexplained. Dont know if related to vaccine but thought I better mention it.
Release 7 — day 7, dose 2
Systemic reaction (other): My psoriasis is really bad-worse than its been in a long time
Release 8 — day 28, dose 2
Symptoms: I have had psoriasis for about 10 years but this last week has been the worst it has ever been.
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 | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Psoriasis | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Psoriasis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release