ZFJ-14571-16727
2 vaccinations
3 coded responses
10 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 705 / LA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Injection site erythema, Injection site pain, Muscle tightness, Rash — Feeling: Fair · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Injection site and rash painful. Feels like a muscle tightness Is red also. The injection site is about the size of a dime the rash 2 inches below is about the size of a silver dollarMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Office visit, Rash — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Rash was on left arm only moving over body now · Healthcare visit (other): Went yesterday when rash appeared getting worse Friday nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Office visit, Rash — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I saw PCP today he said it was a reaction to the vaccine. Took me off Prednisone and said it was fighting vaccine purpose. Told me take 25 mg of Benadryl the day I go for 2nd vaccine shot as it is a rash but not itching or burning mild reaction. He said definitely get 2 nd shot and let him know if this gets worse · Healthcare visit (other): My PCP office in personMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
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)
-
2021-02-02
Health check-in — day 7, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-02-25
Dose 2 — Moderna
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-27
- 2021-02-28
-
2021-06-01
Call successfulOther
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-31 | Successful | Other |
| 2021-02-01 | Successful 2021-06-01 |
Other |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site and rash painful. Feels like a muscle tightness Is red also. The injection site is about the size of a dime the rash 2 inches below is about the size of a silver dollar
Systemic reaction (other): Rash was on left arm only moving over body now
Healthcare visit (other): Went yesterday when rash appeared getting worse Friday night
Systemic reaction (other): I saw PCP today he said it was a reaction to the vaccine. Took me off Prednisone and said it was fighting vaccine purpose. Told me take 25 mg of Benadryl the day I go for 2nd vaccine shot as it is a rash but not itching or burning mild reaction. He said definitely get 2 nd shot and let him know if this gets worse
Healthcare visit (other): My PCP office in person
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 | ✓ | ✓ | ✓ |
| HCVO | Rash | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release