YWF-20414-15597
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 787 / TX
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
-
2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-12
- 2021-03-19
-
2021-03-26
Survey response — day 21, dose 1MedDRA: Hypersensitivity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I was gardening. I had an allergic reaction to a weed in my yard. It happens, but it is not usually this severe. It went systemic and I am on oral prednisone and a steroid cream. It might be connected or not, just mentioning it here.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Feeling abnormal, Vision blurred — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizzy, brain fog, trouble focusing eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-08
- 2021-04-09
- 2021-04-16
-
2021-04-23
Survey response — day 21, dose 2MedDRA: Rash, Rash pruritic, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Allergic response. I have itchy bumps on my legs, arms and trunk. This happened just over 2 weeks after my 1st injection as well. I took prednisone and used a topical steroid. Symptoms are resolving. · Healthcare visit (other): I had meds left from the original attack from my 1st injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-01
Survey response — day 28, dose 2MedDRA: Hypersensitivity, Rash, Rash erythematous, Rash pruritic — Feeling: FairFree text: Allergic reaction: After going for several days off medication and without a rash, the red, itchy bumps came back. This time on the inside of my upper arms above my elbows. Also, behind my knees and between knuckles on my hands. Resolved w/prednisoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-03
- 2022-04-02
- 2022-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-23 | Unsuccessful |
Free text
Release 6 — day 21, dose 1
Symptoms: I was gardening. I had an allergic reaction to a weed in my yard. It happens, but it is not usually this severe. It went systemic and I am on oral prednisone and a steroid cream. It might be connected or not, just mentioning it here.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy, brain fog, trouble focusing eyes
Release 7 — day 21, dose 2
Symptoms: Allergic response. I have itchy bumps on my legs, arms and trunk. This happened just over 2 weeks after my 1st injection as well. I took prednisone and used a topical steroid. Symptoms are resolving.
Healthcare visit (other): I had meds left from the original attack from my 1st injection.
Release 8 — day 28, dose 2
Symptoms: Allergic reaction: After going for several days off medication and without a rash, the red, itchy bumps came back. This time on the inside of my upper arms above my elbows. Also, behind my knees and between knuckles on my hands. Resolved w/prednisone cut off by CDC
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 | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release