ZJH-53971-19559
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 105 / NY
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- Other
- Ethnicity
- N/A
Timeline
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2021-01-07
Dose 1 — Moderna
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2021-01-13
Registered in v-safe
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2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-01-14
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2021-01-21
Survey response — day 14, dose 1MedDRA: Erythema, Pruritus, Swelling, Telemedicine — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Redness, swelling lots of itching starting 4th day after vaccination. . Well into 10 days. Called doctor, got a topical steroid ointment. Better. Concerned about allergic reactions to second dose what precautions should I take before 2nd dose?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-28
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2021-02-04
Dose 2 — Moderna
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2021-02-11
Survey response — day 7, dose 2MedDRA: Pyrexia — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tirednessFree text: I had a fever of 101.4 24 days ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — day 14, dose 2MedDRA: Arthralgia, Chills, Headache, Pruritus, Pyrexia, Rash, Reaction to previous exposure to any vaccine, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Fever, 101.4 F, chills, headache and joint pain for 1.5 days. I had Covid arm after 1st shot, my doctor asked to take Zyrtec for 8 days. He prescribed steroid ointment for swelling, and itching. Rash and itching again after 2nd shot.Took ZyrteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-25
- 2021-03-06
- 2021-03-13
- 2021-03-18
- 2021-03-30
- 2021-05-07
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2021-08-05
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: GoodFree text: Minor cold , sore throat, stuffinessMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-02-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-21 | Unsuccessful | |
| 2021-02-18 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: Redness, swelling lots of itching starting 4th day after vaccination. . Well into 10 days. Called doctor, got a topical steroid ointment. Better. Concerned about allergic reactions to second dose what precautions should I take before 2nd dose?
Release 4 — day 7, dose 2
Systemic reaction (other): I had a fever of 101.4 24 days ago.
Release 4 — day 14, dose 2
Symptoms: Fever, 101.4 F, chills, headache and joint pain for 1.5 days. I had Covid arm after 1st shot, my doctor asked to take Zyrtec for 8 days. He prescribed steroid ointment for swelling, and itching. Rash and itching again after 2nd shot.Took Zyrte
Release 9 — 6 months, dose 2
Symptoms: Minor cold , sore throat, stuffiness
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Telemedicine | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release