YNX-25549-57336
5 vaccinations
14 coded responses
60 check-ins
14 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 600 / IL
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
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2021-02-08
Dose 1 — Moderna
- 2021-02-08
- 2021-02-09
- 2021-02-22
- 2021-03-01
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2021-03-08
Survey response — day 28, dose 1MedDRA: Rash, Self-medication — Feeling: GoodFree text: I have had a rash on my hands for a week and a half now. It's much better now tho, have used hydrocortisone which has helped considerably. 2nd shot tomorrow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Dose 2 — Moderna
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2021-03-09
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Not todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
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2021-04-20
Survey response — day 42, dose 2MedDRA: Rash — Feeling: GoodFree text: Still have a rash on my hands??MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-08
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2021-09-07
Survey response — 6 months, dose 2MedDRA: Office visit, Tinea manuum — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Fungus on both hands · Healthcare visit (other): DermatologistMedDRA releases: 2024-11 · check-in free text available
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2021-09-07
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-10
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2021-11-03
Dose 3 — ModernaCo-administered: Flu
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
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2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Office visit, Rash, Skin infection — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I've had a rash on my hands that started last March. Been to a dermatologist, it still exists. It's like Eczema, had a skin infection. Weird.MedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Health check-in — day 7, dose 3Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2022-02-02
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2022-04-20
Dose 4 — Moderna
- 2022-04-20
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2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Eczema, Office visit — 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): I've had Exzema , diagnosed by a dermatologist since my 1st shot of Moderna. I've reported to you before. It's not too bad right now but suddenly flares up. · Healthcare visit (other): Periodic dermatologist visits, last 2 years. I never had such a thing prior to my 1st shot.MedDRA releases: 2024-11 · check-in free text available
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2022-04-21
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-22
- 2022-04-23
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2022-04-24
Survey response — days 1–6 daily, dose 4MedDRA: Office visit, Unevaluable event — 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): Now its on my legs??? · Healthcare visit (other): (b)(6) Dermatology.MedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professional1 call case(s)
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2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: That's it??MedDRA releases: 2024-11 · check-in free text available
- 2022-04-25
- 2022-04-26
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2022-04-27
Survey response — day 7, dose 4MedDRA: Adverse reaction — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Same as its been on my hands.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
- 2022-05-11
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2022-05-18
Survey response — day 28, dose 4MedDRA: Skin exfoliation — Feeling: GoodFree text: My hands are peeling skin again.MedDRA releases: 2024-11 · check-in free text available
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2022-05-25
Survey response — day 35, dose 4MedDRA: Office visit, Skin exfoliation — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My hands, that I have mentioned to you before are pealing skin again. You evidently don't think it's from Moderna · Healthcare visit (other): (b)(6) Dermatology, two doctors!MedDRA releases: 2024-11 · check-in free text available
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2022-05-25
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-26
- 2022-05-26
- 2022-05-26
- 2022-05-26
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2022-06-01
Survey response — day 42, dose 4MedDRA: Cough, SARS-CoV-2 test — Feeling: PoorFree text: Bad cough!! Had covid test!MedDRA releases: 2024-11 · check-in free text available
- 2022-07-20
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2022-11-04
Dose 5 — ModernaCo-administered: Flu
- 2022-11-04
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2022-11-05
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Muscle or body achesAdult check-in
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2022-11-06
Survey response — days 1–6 daily, dose 5MedDRA: Headache, Self-medication — Feeling: Good · HeadacheFree text: Headache went away with Tylenol.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-07
- 2022-11-08
- 2022-11-09
- 2022-11-10
- 2022-11-11
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2022-11-18
Survey response — day 14, dose 5MedDRA: Pre-existing disease, Rhinorrhoea, Sneezing — Feeling: GoodFree text: Had a allergy problem. Sneezing and running nose. Still off and on sneezing. Anti histamine helps at night.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2023-02-03
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-11-03 | Moderna | Flu |
| 4 | 2022-04-20 | Moderna | No |
| 5 | 2022-11-04 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-07 | Unsuccessful | |
| 2022-04-21 | Unsuccessful | |
| 2022-04-24 | Unsuccessful | |
| 2022-05-25 | Unsuccessful |
Free text
Release 5 — day 28, dose 1
Symptoms: I have had a rash on my hands for a week and a half now. It's much better now tho, have used hydrocortisone which has helped considerably. 2nd shot tomorrow.
Release 5 — day 0, dose 2
Systemic reaction (other): Not today
Release 7 — day 42, dose 2
Symptoms: Still have a rash on my hands??
Release 9 — 6 months, dose 2
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I've had a rash on my hands that started last March. Been to a dermatologist, it still exists. It's like Eczema, had a skin infection. Weird.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I've had Exzema , diagnosed by a dermatologist since my 1st shot of Moderna. I've reported to you before. It's not too bad right now but suddenly flares up.
Healthcare visit (other): Periodic dermatologist visits, last 2 years. I never had such a thing prior to my 1st shot.
Systemic reaction (other): Now its on my legs???
Healthcare visit (other): (b)(6) Dermatology.
redacted (b)(6)
Systemic reaction (other): That's it??
Release 11 — day 7, dose 4
Systemic reaction (other): Same as its been on my hands.
Release 11 — day 28, dose 4
Symptoms: My hands are peeling skin again.
Release 11 — day 35, dose 4
Symptoms: My hands, that I have mentioned to you before are pealing skin again. You evidently don't think it's from Moderna
Healthcare visit (other): (b)(6) Dermatology, two doctors!
redacted (b)(6)
Release 11 — day 42, dose 4
Symptoms: Bad cough!! Had covid test!
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Headache went away with Tylenol.
Release 12 — day 14, dose 5
Symptoms: Had a allergy problem. Sneezing and running nose. Still off and on sneezing. Anti histamine helps at night.
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 | Office visit | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Skin exfoliation | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Tinea manuum | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Eczema | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Skin infection | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release