YXZ-26648-01933
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 209 / MD
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-05
Dose 1 — Moderna
-
2021-04-17
Registered in v-safe
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2021-04-17
Survey response — day 7, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Office visit — Feeling: Good · Site: Itching · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I had some swelling and itching after my injection that went away in about a day. On day 8, I had swelling, itching and redness at the injection. Site and visited my GP who assessed it to be a vigorous post injection response. It has since resolved except for some minor itching today (day 13). · Healthcare visit (other): In person visit to GPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-19
Survey response — day 14, dose 1MedDRA: Injection site inflammation, Injection site pruritus — Feeling: GoodFree text: The inflammation and itching at my vaccine injection site is returning today, although so far its milder than the first (days 2-3) and second (days 8-12) times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
-
2021-05-03
Dose 2 — Moderna
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Migraine — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Headache might have been a concurrent migraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-11
- 2021-05-18
- 2021-05-24
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2021-05-31
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very tired all the time, feeling worn out. Maybe not related?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-07
- 2021-06-14
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2021-08-02
Survey response — 3 months, dose 2MedDRA: Sneezing, Throat irritation — Feeling: GoodFree text: Allergy-like feeling. Feel fine overall but sometimes a scratchy throat, occasional sneeze.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-01
- 2022-02-25
-
2022-03-09
Call successfulCompleted over the phone
- 2022-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | |
| 2 | 2021-05-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-17 | Successful 2022-03-09 |
Completed over the phone |
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): I had some swelling and itching after my injection that went away in about a day. On day 8, I had swelling, itching and redness at the injection. Site and visited my GP who assessed it to be a vigorous post injection response. It has since resolved except for some minor itching today (day 13).
Healthcare visit (other): In person visit to GP
Release 7 — day 14, dose 1
Symptoms: The inflammation and itching at my vaccine injection site is returning today, although so far its milder than the first (days 2-3) and second (days 8-12) times.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Headache might have been a concurrent migraine
Release 8 — day 28, dose 2
Symptoms: Very tired all the time, feeling worn out. Maybe not related?
Release 9 — 3 months, dose 2
Symptoms: Allergy-like feeling. Feel fine overall but sometimes a scratchy throat, occasional sneeze.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site inflammation | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SD | Throat irritation | ✓ | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release