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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

  1. 2021-04-08
    Dose 1 — Moderna
  2. 2021-05-06
    Dose 2 — Moderna
  3. 2021-05-10
    Registered in v-safe
  4. 2021-05-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Hashimotos Disease
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  6. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  7. 2021-05-15
    Survey response — day 7, dose 2
    MedDRA: 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 professional
    Free 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
  8. 2021-05-15
    Report sent to call center — day 7, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-05-22
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-05-27
    Survey response — day 21, dose 2
    MedDRA: 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 visit
    Free text: Kidney stone surgery.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-27
    Report sent to call center — day 21, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-08-07
    Survey response — 3 months, dose 2
    MedDRA: Bloody discharge, Cough, Influenza like illness, Respiratory tract congestion, Rhinorrhoea, Sinus disorder, Sputum discoloured — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  13. 2022-04-07

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Moderna
22021-05-06Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-15 Unsuccessful
2021-05-27 Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-10

Systemic reaction (other): Hashimotos Disease

2021-05-11

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.

2021-05-12

Systemic reaction (other): My facial rash is the same. I have been treating it with Calendula oil.

Release 8 — day 7, dose 2

2021-05-15

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

2021-05-27

Symptoms: Kidney stone surgery.

Release 9 — 3 months, dose 2

2021-08-07

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
HCVORash ✓ ✓ ✓
SDBloody discharge ✓ · ✓
SDCough ✓ · ✓
SDInfluenza like illness ✓ · ✓
SDNephrolithiasis ✓ ✓ ✓
SDRespiratory tract congestion ✓ · ✓
SDRhinorrhoea ✓ · ✓
SDSinus disorder ✓ · ✓
SDSputum discoloured ✓ · ✓
SDSurgery ✓ ✓ ✓
SROBurning sensation ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash erythematous ✓ ✓ ✓
SRORash pruritic ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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