ZRW-36057-47210
4 vaccinations
2 coded responses
50 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
-
2021-02-01
Survey response — day 14, dose 1MedDRA: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Beginning Thursday, January 28, Ive experienced what appears to be localized reactions at and surrounding the injection site: redness, itching, swelling, bruise-like pain on contact. Area enlarges daily. Covid Arm? · Healthcare visit (other): Emailed my primary care physician today, but has not yet repliedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-08
Survey response — day 21, dose 1MedDRA: Immunisation reaction, Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Covid arm lasted for 10 days, so it lasted 4 days after my last weeks checkin. Red/itchy/swollen area kept getting bigger (from injection site downward to 2 above elbow, and entire front & sides of arm-only back of arm stayed clear)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-15
Dose 2 — Moderna
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-05-17
- 2021-06-14
- 2021-08-16
-
2021-10-24
Dose 3 — Moderna
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
-
2022-05-03
Dose 4 — Moderna
- 2022-05-03
- 2022-05-04
- 2022-05-05
-
2022-05-06
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-05-07
- 2022-05-08
- 2022-05-09
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-16
- 2022-08-03
- 2022-11-01
- 2023-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-05-03 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-01 | Unsuccessful | |
| 2021-02-08 | Unsuccessful |
Free text
Release 3 — day 14, dose 1
Symptoms: Beginning Thursday, January 28, Ive experienced what appears to be localized reactions at and surrounding the injection site: redness, itching, swelling, bruise-like pain on contact. Area enlarges daily. Covid Arm?
Healthcare visit (other): Emailed my primary care physician today, but has not yet replied
Release 3 — day 21, dose 1
Symptoms: Covid arm lasted for 10 days, so it lasted 4 days after my last weeks checkin. Red/itchy/swollen area kept getting bigger (from injection site downward to 2 above elbow, and entire front & sides of arm-only back of arm stayed clear)
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site bruising | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release