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YRP-84339-31321

2 vaccinations 3 coded responses 14 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
921 / CA
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-02-09
    Registered in v-safe
  3. 2021-02-09
    Survey response — day 21, dose 1
    MedDRA: Immunisation reaction, Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction, Pyrexia, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: What I now have learned is Covid Arm: Barely any arm discomfort immediately after injection but 1 week after vax, arm was tender and itchy, a welt raised, injection site felt feverish, redness appeared at surrounding area. GP prescribed antibiotic.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-09
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-02-12
    Dose 2 — Moderna
  6. 2021-02-12
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  8. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Vision blurred, Visual impairment — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Some weird vision/focus stuff
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  10. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  11. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-17
  18. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-02-14
    Survey response — 12 months, dose 2
    MedDRA: Medical counselling, Office visit, Pre-existing disease, Rhinorrhoea, SARS-CoV-2 test negative, Upper respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Upper respiratory congestion, runny nose. I let my dr know. He recommended urgent care visit. Covid test negative. Lungs fine. Probably weather-related allergies. Health continues to be great since vax/booster.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-02-14
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  21. 2022-02-15

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-09 Unsuccessful
2022-02-14 Unsuccessful

Free text

Release 3 — day 21, dose 1

2021-02-09

Symptoms: What I now have learned is Covid Arm: Barely any arm discomfort immediately after injection but 1 week after vax, arm was tender and itchy, a welt raised, injection site felt feverish, redness appeared at surrounding area. GP prescribed antibiotic. cut off by CDC

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Some weird vision/focus stuff

Release 11 — 12 months, dose 2

2022-02-14

Symptoms: Upper respiratory congestion, runny nose. I let my dr know. He recommended urgent care visit. Covid test negative. Lungs fine. Probably weather-related allergies. Health continues to be great since vax/booster.

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
SDImmunisation reaction ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site reaction ✓ ✓ ✓
SDMedical counselling · · ✓
SDOffice visit · · ✓
SDPre-existing disease · · ✓
SDPyrexia ✓ ✓ ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDUpper respiratory tract congestion · · ✓
SDUrticaria ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓
SROVisual impairment ✓ ✓ ✓

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