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YFR-30517-43195

2 vaccinations 3 coded responses 10 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
913 / CA
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-25
    Dose 1 — Moderna
  2. 2021-02-02
    Registered in v-safe
  3. 2021-02-02
    Survey response — day 7, dose 1
    MedDRA: Erythema — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Red spot is still noted 8 days after vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-09
    Survey response — day 14, dose 1
    MedDRA: Erythema, Office visit, Pain in extremity, Pruritus, Skin warm — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Large red area on arm that started out measuring 2x2 and doubled in size to 4x4 1/2 by day 11. It was very red, hot, and itchy. It also hurt. Had to seek medical advice, and go to Urgent Care.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-09
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-02-17
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-22
    Dose 2 — Moderna
  8. 2021-02-23
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-03
    Survey response — day 7, dose 2
    MedDRA: Arthralgia, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Myalgia — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: Joint pain and muscle aches the day after vaccine. Large red area measuring 4 1/2 In diameter at site of vaccine immediately followed the day after vaccine was given. The redness included pain, swelling, hot to touch and was very red for 5 days. It continues to itch.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-18

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna
22021-02-22Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-09 Unsuccessful

Free text

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): Red spot is still noted 8 days after vaccine

Release 3 — day 14, dose 1

2021-02-09

Symptoms: Large red area on arm that started out measuring 2x2 and doubled in size to 4x4 1/2 by day 11. It was very red, hot, and itchy. It also hurt. Had to seek medical advice, and go to Urgent Care.

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Joint pain and muscle aches the day after vaccine. Large red area measuring 4 1/2 In diameter at site of vaccine immediately followed the day after vaccine was given. The redness included pain, swelling, hot to touch and was very red for 5 days. It continues to itch.

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
SDErythema ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDSkin warm ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓

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