YLH-31789-63294
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 064 / CT
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Dose 1 — Moderna
-
2021-03-09
Registered in v-safe
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
-
2021-03-20
Survey response — day 14, dose 1MedDRA: Injection site rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: On day 8 after vaccine I got a rash at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-27
- 2021-04-03
-
2021-04-10
Dose 2 — Moderna
-
2021-04-10
Survey response — day 0, dose 2MedDRA: Ear discomfort, Erythema, Immediate post-injection reaction, Skin warm — Feeling: Good · Site: PainFree text: Within a half hour of the vaccine that I received on left side, I felt a fullness in my left ear, seemed I could almost feel it travel up side of neck. My ear felt warm and was a bit red, ear is no loner red two hours later but feels full.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Reaction to previous exposure to any vaccine — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Totally wiped out, chills were slight not as bad as Shingles shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
-
2021-05-22
Survey response — day 42, dose 2MedDRA: Dizziness, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: Two days this week I had dizziness, might be allergy or pollen related but that doesnt usually cause me to be dizzy. Took a LoratDine and within a few hours was better..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-10
- 2021-10-09
- 2021-12-29
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2022-04-10
Survey response — 12 months, dose 2MedDRA: Fatigue, Nasopharyngitis, Throat irritation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Can't remember when last check in was, but in January I was exposed and had cold symptoms and scratchy throat as well as tirednessesMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-10 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-20 | Unsuccessful |
Free text
Release 6 — day 14, dose 1
Symptoms: On day 8 after vaccine I got a rash at injection site.
Release 7 — day 0, dose 2
Systemic reaction (other): Within a half hour of the vaccine that I received on left side, I felt a fullness in my left ear, seemed I could almost feel it travel up side of neck. My ear felt warm and was a bit red, ear is no loner red two hours later but feels full.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Totally wiped out, chills were slight not as bad as Shingles shot
Release 8 — day 42, dose 2
Symptoms: Two days this week I had dizziness, might be allergy or pollen related but that doesnt usually cause me to be dizzy. Took a LoratDine and within a few hours was better..
Release 11 — 12 months, dose 2
Symptoms: Can't remember when last check in was, but in January I was exposed and had cold symptoms and scratchy throat as well as tirednesses
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release