YPG-18946-44626
2 vaccinations
6 coded responses
7 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 221 / VA
- Registered
- 2021-05-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Dose 1 — Moderna
-
2021-05-06
Dose 2 — Moderna
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2021-05-10
Registered in v-safe
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2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Hashimotos DiseaseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Burning sensation, Rash erythematous, Rash pruritic — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: I've developed a red burning rash on my face. It started on my eyelids yesterday and has spread to my temples and behind my ears today. It resembles psoriasis because it's itchy, flakey and bright red.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Self-medication — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: My facial rash is the same. I have been treating it with Calendula oil.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Survey response — day 7, dose 2MedDRA: Office visit, Rash — Feeling: Poor · Joint pains, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Office visit to Primary care doctor. He told me the rash was common and to take Zyrtec and Benadryl to alleviate my allergic reaction to the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Report sent to call center — day 7, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-22
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2021-05-27
Survey response — day 21, dose 2MedDRA: Nephrolithiasis, Surgery — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Kidney stone surgery.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-07
Survey response — 3 months, dose 2MedDRA: Bloody discharge, Cough, Influenza like illness, Respiratory tract congestion, Rhinorrhoea, Sinus disorder, Sputum discoloured — Feeling: Good · Be unable to do your normal daily activitiesFree text: Flu like symptoms and sinus problems. Chronic coughing with chest congestion. Sniffling, bloody discharge and green nasal flem.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | |
| 2 | 2021-05-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-15 | Unsuccessful | |
| 2021-05-27 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Hashimotos Disease
Systemic reaction (other): I've developed a red burning rash on my face. It started on my eyelids yesterday and has spread to my temples and behind my ears today. It resembles psoriasis because it's itchy, flakey and bright red.
Systemic reaction (other): My facial rash is the same. I have been treating it with Calendula oil.
Release 8 — day 7, dose 2
Healthcare visit (other): Office visit to Primary care doctor. He told me the rash was common and to take Zyrtec and Benadryl to alleviate my allergic reaction to the shot.
Release 8 — day 21, dose 2
Symptoms: Kidney stone surgery.
Release 9 — 3 months, dose 2
Symptoms: Flu like symptoms and sinus problems. Chronic coughing with chest congestion. Sniffling, bloody discharge and green nasal flem.
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 | ✓ | ✓ | ✓ |
| HCVO | Rash | ✓ | ✓ | ✓ |
| SD | Bloody discharge | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Influenza like illness | ✓ | · | ✓ |
| SD | Nephrolithiasis | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Sinus disorder | ✓ | · | ✓ |
| SD | Sputum discoloured | ✓ | · | ✓ |
| SD | Surgery | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release