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
-
2021-01-25
Dose 1 — Moderna
-
2021-02-02
Registered in v-safe
-
2021-02-02
Survey response — day 7, dose 1MedDRA: Erythema — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Red spot is still noted 8 days after vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Survey response — day 14, dose 1MedDRA: 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 visitFree 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
-
2021-02-09
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-17
-
2021-02-22
Dose 2 — Moderna
- 2021-02-23
-
2021-03-03
Survey response — day 7, dose 2MedDRA: Arthralgia, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Myalgia — Feeling: Good · Site: Redness, Swelling, ItchingFree 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
- 2021-03-08
- 2021-03-15
- 2021-03-24
- 2021-03-29
- 2021-04-05
- 2021-07-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-09 | Unsuccessful |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Red spot is still noted 8 days after vaccine
Release 3 — day 14, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release