ZDJ-16662-06766
2 vaccinations
9 coded responses
20 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 302 / GA
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
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2021-03-04
Registered in v-safe
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Office visit — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Abdominal pain · Get care from a doctor or other healthcare professionalFree text: Dr. OfficeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
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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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-03-07
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Induration, Tenderness — Feeling: Good · Site: Pain, SwellingFree text: Upper arm in front is still hard.. and a little painful when touched.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — day 7, dose 1MedDRA: Induration — Feeling: Good · Site: ItchingFree text: Front of arm on top area is still a little hard.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
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2021-03-30
Dose 2 — Moderna
- 2021-03-30
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Poor · Site: Itching · Fever · Muscle or body aches, Fatigue or tirednessFree text: Injection site is hot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, ItchingFree text: Injection site is still very warm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Good · Site: ItchingFree text: Arm is still warm at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Immediate post-injection reaction, Injection site pain, Injection site warmth — Feeling: Good · Site: Pain, ItchingFree text: Injection site still a little warm.. not was warm/hot right after the vaccine. Sore to the touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Skin warm — Feeling: Good · Site: Pain, ItchingFree text: Arm is still slightly warm.. getting betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: The itching has. Subsided quite a bit...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-11-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-05 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Healthcare visit (other): Dr. Office
Systemic reaction (other): Upper arm in front is still hard.. and a little painful when touched.
Release 5 — day 7, dose 1
Systemic reaction (other): Front of arm on top area is still a little hard.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Injection site is hot.
Systemic reaction (other): Injection site is still very warm.
Systemic reaction (other): Arm is still warm at the injection site.
Systemic reaction (other): Injection site still a little warm.. not was warm/hot right after the vaccine. Sore to the touch.
Systemic reaction (other): Arm is still slightly warm.. getting better
Systemic reaction (other): The itching has. Subsided quite a bit...
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 | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Induration | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release