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YMH-26201-25685

2 vaccinations 4 coded responses 12 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
228 / VA
Registered
2021-02-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-24
    Dose 1 — Moderna
  2. 2021-02-01
    Registered in v-safe
  3. 2021-02-01
    Survey response — day 7, dose 1
    MedDRA: Lymph node pain — Feeling: Good · Site: Pain
    Free text: Lymph node under arm slightly painful
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-15
    Survey response — day 21, dose 1
    MedDRA: Adverse reaction, Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Have developed an increasing BP reading · Healthcare visit (other): FMD
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-15
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-02-21
    Dose 2 — Moderna
  8. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site swelling, Injection site warmth, Rash erythematous, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Free text: My mother in law (92) got her injection at the same appointment . She does not have a smart phone and I cannot see where to register her reaction. The site of injection has a 3-4 inch raised red area and is itchy, kind of hot and noted it yesterday. Her last injection she had a rash around the injections area.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Dizziness — Feeling: Fair
    Free text: Just feel weak and a bit dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-30

Vaccinations

DoseDateManufacturerCo-administered
12021-01-24Moderna
22021-02-21Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-15 Unsuccessful

Free text

Release 3 — day 7, dose 1

2021-02-01

Systemic reaction (other): Lymph node under arm slightly painful

Release 4 — day 21, dose 1

2021-02-15

Symptoms: Have developed an increasing BP reading
Healthcare visit (other): FMD

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): My mother in law (92) got her injection at the same appointment . She does not have a smart phone and I cannot see where to register her reaction. The site of injection has a 3-4 inch raised red area and is itchy, kind of hot and noted it yesterday. Her last injection she had a rash around the injections area.

2021-02-24

Systemic reaction (other): Just feel weak and a bit dizzy

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
HCVOAdverse reaction ✓ ✓ ✓
SDHypertension ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SRORash erythematous ✓ ✓ ✓
SROReaction to previous exposure to any vaccine ✓ ✓ ✓

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