Z7H-28250-24709
1 vaccination
2 coded responses
9 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 152 / PA
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-01-19
Registered in v-safe
- 2021-01-19
-
2021-01-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, NauseaAdult check-in
-
2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-21
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-23
-
2021-01-30
Survey response — day 14, dose 1MedDRA: Rash erythematous, Rash pruritic, Skin exfoliation — Feeling: GoodFree text: Itchy flaking red rash on back of both hands for about 5 days. Resolved gradually with use of lotionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-22
-
2021-04-18
Survey response — 3 months, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 3 weeks of right sided throat painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-18
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-19
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-07-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-21 | priority 2/3 | |
| 2021-04-18 | Successful 2021-04-19 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 3 — day 14, dose 1
Symptoms: Itchy flaking red rash on back of both hands for about 5 days. Resolved gradually with use of lotion
Release 7 — 3 months, dose 1
Symptoms: 3 weeks of right sided throat pain
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 | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Skin exfoliation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release