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
-
2021-01-22
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
-
2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-01-27
- 2021-01-28
-
2021-01-29
Survey response — day 7, dose 1MedDRA: Injection site warmth, Skin exfoliation — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Skin is peeling like sunburn, and injection site is hotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Survey response — day 14, dose 1MedDRA: Swelling, Urticaria — Feeling: GoodFree 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 treatmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Dose 2 — Moderna
-
2021-02-21
Survey response — day 0, dose 2MedDRA: Anaphylactic reaction, Dizziness, Pruritus — Feeling: Fair · Site: Redness, Swelling, Itching · Nausea · Be unable to do your normal daily activitiesFree text: Anaphylaxis, itching, light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Throat swelling, muscle stiffnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Bone pain, muscle stiffnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: 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 consultationFree text: Cold sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: 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 consultationFree 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
-
2021-02-25
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-25
- 2021-09-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-24 | Unsuccessful | |
| 2021-02-25 | Unsuccessful |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Skin is peeling like sunburn, and injection site is hot
Release 3 — day 14, dose 1
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
Systemic reaction (other): Anaphylaxis, itching, light headed
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Throat swelling, muscle stiffness
Systemic reaction (other): Bone pain, muscle stiffness
Systemic reaction (other): Cold sweats
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Anaphylactic reaction | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Bone pain | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Induration | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Skin discolouration | ✓ | ✓ | ✓ |
| SRO | Skin exfoliation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release