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YPU-99935-60544

2 vaccinations 7 coded responses 13 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
750 / TX
Registered
2021-01-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-01-24
    Registered in v-safe
  3. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  5. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  6. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  7. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-29
    Survey response — day 7, dose 1
    MedDRA: Injection site warmth, Skin exfoliation — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: Skin is peeling like sunburn, and injection site is hot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-05
    Survey response — day 14, dose 1
    MedDRA: Swelling, Urticaria — Feeling: Good
    Free text: Large swollen hot welt since day 1 of vaccination that has not gone away despite recommendations of allergy meds, ice,exercise, etcWhile it doesnt prevent activity, iys alarming to have the reaction and it nkt respond to treatment
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-21
    Dose 2 — Moderna
  11. 2021-02-21
    Survey response — day 0, dose 2
    MedDRA: Anaphylactic reaction, Dizziness, Pruritus — Feeling: Fair · Site: Redness, Swelling, Itching · Nausea · Be unable to do your normal daily activities
    Free text: Anaphylaxis, itching, light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Musculoskeletal stiffness, Pharyngeal swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Throat swelling, muscle stiffness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Bone pain, Musculoskeletal stiffness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Bone pain, muscle stiffness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cold sweat — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Cold sweats
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-24
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anxiety, Induration, Peripheral swelling, Pharyngeal swelling, Pruritus, Skin discolouration, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): Anxiety. The swelling in my arm since day 1 is the circumference of a grapefruit, red, hard, and itchy. I have itching all over my body. And random throat swelling · Healthcare visit (other): I probably would havevgone to the hospital except i cant afford it. As well as being a chronically ill person i tend to discount my medical ailments.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-25
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-08-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-09-02

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-21Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-24 Unsuccessful
2021-02-25 Unsuccessful

Free text

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Skin is peeling like sunburn, and injection site is hot

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Large swollen hot welt since day 1 of vaccination that has not gone away despite recommendations of allergy meds, ice,exercise, etcWhile it doesnt prevent activity, iys alarming to have the reaction and it nkt respond to treatment

Release 4 — day 0, dose 2

2021-02-21

Systemic reaction (other): Anaphylaxis, itching, light headed

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Throat swelling, muscle stiffness

2021-02-23

Systemic reaction (other): Bone pain, muscle stiffness

2021-02-24

Systemic reaction (other): Cold sweats

2021-02-25

Systemic reaction (other): Anxiety. The swelling in my arm since day 1 is the circumference of a grapefruit, red, hard, and itchy. I have itching all over my body. And random throat swelling
Healthcare visit (other): I probably would havevgone to the hospital except i cant afford it. As well as being a chronically ill person i tend to discount my medical ailments.

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
HCVOUnevaluable event ✓ ✓ ✓
SDSwelling ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SROAnaphylactic reaction ✓ ✓ ✓
SROAnxiety ✓ ✓ ✓
SROBone pain ✓ ✓ ✓
SROCold sweat ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROInduration ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROPharyngeal swelling ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSkin discolouration ✓ ✓ ✓
SROSkin exfoliation ✓ ✓ ✓

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