YKA-42938-34725
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 303 / GA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
- 2021-01-25
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Pain — Feeling: Good · Site: Pain · Fever · ChillsFree text: Very mild chills and aches last night. Felt fine this morning and still feel fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash pruritic, Self-medication — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteFree text: I take Dupixent for chronic itching but last night I had a mild but very itchy rash on my neck and shoulders. Benadryl did not help. I have no idea if the rash has anything to do with the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteFree text: Neck & shoulders still itching. Very slight rash across shoulders. Not certain vaccine is to blame as I have chronic itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Moderate itching on shoulders and neck.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-08
- 2021-02-19
- 2021-02-22
-
2021-02-27
Dose 2 — Moderna
- 2021-02-27
- 2021-03-02
- 2021-03-03
- 2021-03-04
-
2021-03-06
Survey response — day 7, dose 2MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Very mild rash inside both elbows. Also significant itching around neck and ears. Went to dermatologist after 1st vax with moderate itching. She said it had nothing to do with the vaccine, and I do have chronic itching anyway. Went away after a few days, but seems to have returned after 2nd vaccine. Not nearly as bad, but enough to make me take hydroxizine at night. · Healthcare visit (other): Appointment with dermatologist after 1st vaccination. Just now reporting this as the itching returned after 2nd vac. Again, I have chronic itching anyway, and take Dupixent for it. Could just be a coincidence.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-13
- 2021-03-20
- 2021-03-28
- 2021-04-03
- 2021-04-10
- 2021-05-29
- 2021-08-28
-
2021-11-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-27 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-06 | Successful 2021-11-17 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Very mild chills and aches last night. Felt fine this morning and still feel fine.
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I take Dupixent for chronic itching but last night I had a mild but very itchy rash on my neck and shoulders. Benadryl did not help. I have no idea if the rash has anything to do with the vaccine.
Systemic reaction (other): Neck & shoulders still itching. Very slight rash across shoulders. Not certain vaccine is to blame as I have chronic itching.
Systemic reaction (other): Moderate itching on shoulders and neck.
Release 5 — day 7, dose 2
Systemic reaction (other): Very mild rash inside both elbows. Also significant itching around neck and ears. Went to dermatologist after 1st vax with moderate itching. She said it had nothing to do with the vaccine, and I do have chronic itching anyway. Went away after a few days, but seems to have returned after 2nd vaccine. Not nearly as bad, but enough to make me take hydroxizine at night.
Healthcare visit (other): Appointment with dermatologist after 1st vaccination. Just now reporting this as the itching returned after 2nd vac. Again, I have chronic itching anyway, and take Dupixent for it. Could just be a coincidence.
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 | Condition aggravated | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release