Z6G-23942-23158
1 vaccination
6 coded responses
13 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 191 / PA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Medical counselling, Rash, Rash erythematous, Telangiectasia — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I have rash/ redness like a sunburn on my face and front of neck under chin, started early yesterday but more visible today · Healthcare visit (other): Spoke on phone with PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection site · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Facial rash and rash on my neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Medical counselling, Rash — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Still have facial and neck rash/ redness. Have been in touch with my PCP for something more than Benadryl since it continues. · Healthcare visit (other): Called my PCP since we discussed yesterday possible steroid/ Medrol pack if rash persists. I did work today but having difficulty due to sleepiness from Benadryl .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Skin exfoliation — Feeling: Fair · Site: Pain, Itching · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: I still have facial and neck rash, my face is beginning to peel, feels burnt. I started taking steroids prescribed by my doctor last night. This has been a nightmare.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — day 7, dose 1MedDRA: Erythema, Rash — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Facial and neck rash continues. My face is peeling in spots, still flaring red as is my neck. On steroids currently from my PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
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2021-02-19
Survey response — day 21, dose 1MedDRA: Burning sensation, Pruritus, Rash, Skin exfoliation, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had a burning, itchy facial and neck rash, after steroids it appeared to start resolving but my face is still peeling and feels burnt. I am seeing a dermatologist next week. · Healthcare visit (other): My appointment is next weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-04-30
- 2021-06-14
- 2021-06-15
- 2021-06-16
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2021-06-16
Callback requested for11:00AM ET
-
2021-06-17
Call successfulCompleted over the phone
- 2021-07-30
- 2022-01-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-01 | Successful | |
| 2021-02-02 | Successful | |
| 2021-02-03 | Successful | |
| 2021-02-19 | Successful 2021-06-17 |
Completed over the phone |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I have rash/ redness like a sunburn on my face and front of neck under chin, started early yesterday but more visible today
Healthcare visit (other): Spoke on phone with PCP
Systemic reaction (other): Facial rash and rash on my neck
Systemic reaction (other): Still have facial and neck rash/ redness. Have been in touch with my PCP for something more than Benadryl since it continues.
Healthcare visit (other): Called my PCP since we discussed yesterday possible steroid/ Medrol pack if rash persists. I did work today but having difficulty due to sleepiness from Benadryl .
Systemic reaction (other): I still have facial and neck rash, my face is beginning to peel, feels burnt. I started taking steroids prescribed by my doctor last night. This has been a nightmare.
Release 3 — day 7, dose 1
Systemic reaction (other): Facial and neck rash continues. My face is peeling in spots, still flaring red as is my neck. On steroids currently from my PCP
Release 4 — day 21, dose 1
Symptoms: I had a burning, itchy facial and neck rash, after steroids it appeared to start resolving but my face is still peeling and feels burnt. I am seeing a dermatologist next week.
Healthcare visit (other): My appointment is next week
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Rash | ✓ | ✓ | ✓ |
| HCVO | Telangiectasia | ○ | ✓ | ○ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Skin exfoliation | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Skin exfoliation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release