Z2H-28468-40570
2 vaccinations
2 coded responses
25 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 063 / CT
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Dose 1 — Moderna
-
2021-02-13
Registered in v-safe
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
-
2021-03-13
Dose 2 — Moderna
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Erythema of eyelid, Pain — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Although I said moderate redness, I was surprised at how red it was. The vaccine was put very high up and pretty much in the back of my arm and felt it was too high up as it was painful going in. I also woke up to a similar small red spot under my lower eyelid, on the same side of the injection, that wasn't there before. I did not bruise that area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
-
2021-04-10
Survey response — day 28, dose 2MedDRA: Pericarditis — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I was diagnosed with pericarditis on Thursday, put on Naproxen and on Friday they saw no sign of it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-17
- 2021-04-24
- 2021-06-12
- 2021-09-11
-
2021-12-20
Call successfulParticipant prefers to complete VAERS report online
- 2022-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-13 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-10 | Successful 2021-12-20 |
Participant prefers to complete VAERS report online |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Although I said moderate redness, I was surprised at how red it was. The vaccine was put very high up and pretty much in the back of my arm and felt it was too high up as it was painful going in. I also woke up to a similar small red spot under my lower eyelid, on the same side of the injection, that wasn't there before. I did not bruise that area.
Release 7 — day 28, dose 2
Symptoms: I was diagnosed with pericarditis on Thursday, put on Naproxen and on Friday they saw no sign of it.
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 |
|---|---|---|---|---|
| SD | Pericarditis | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Erythema of eyelid | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release