ZHY-19580-17736
2 vaccinations
4 coded responses
10 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 148 / NY
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-02-06
Registered in v-safe
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2021-02-06
Dose 1 — Moderna
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2021-02-16
Survey response — day 7, dose 1MedDRA: Immunisation reaction, Pruritus, Rash macular — Feeling: Poor · Site: Redness, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: COVID Arm began on Day 8. Today is day 10. Arm is itchy. Blotches of red going down the arm 3-5 below vaccination spot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — day 14, dose 1MedDRA: Injection site rash, Injection site swelling, Office visit, Pruritus, Rash — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: First Moderna vaccine was on 2/8/2021. On 2/14 I got a rash and swelling by the shot. The area by the shot is better but the rash has extended down my arm to the shoulder joint and under my arm. Its fading but discolored and itchy. My doctor know · Healthcare visit (other): Doctor has spoken to me twice. Dr has seen pictures. Wish I could send you a picture. Will go for 2nd shot but afraid of a worse reaction.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-27
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2021-03-06
Dose 2 — Moderna
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2021-03-06
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Medical counselling — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I called my doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Joint pains, Fatigue or tirednessAdult check-in
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2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Headache, Fatigue or tirednessAdult check-in
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteFree text: A few hives on my chest and back during the night. All gone now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-20 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-03-07 | Successful 2021-08-16 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): COVID Arm began on Day 8. Today is day 10. Arm is itchy. Blotches of red going down the arm 3-5 below vaccination spot.
Release 4 — day 14, dose 1
Symptoms: First Moderna vaccine was on 2/8/2021. On 2/14 I got a rash and swelling by the shot. The area by the shot is better but the rash has extended down my arm to the shoulder joint and under my arm. Its fading but discolored and itchy. My doctor know
Healthcare visit (other): Doctor has spoken to me twice. Dr has seen pictures. Wish I could send you a picture. Will go for 2nd shot but afraid of a worse reaction.
Release 5 — days 1–6 daily, dose 2
Healthcare visit (other): I called my doctor.
Systemic reaction (other): A few hives on my chest and back during the night. All gone now.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash macular | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release