ZVG-54980-65016
2 vaccinations
5 coded responses
7 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 765 / TX
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
-
2021-01-28
Survey response — day 14, dose 1MedDRA: Injection site swelling, Pruritus, Vomiting projectile — Feeling: GoodFree text: On day 8, the injection site started swelling and was about 7 cm in diameter and was raised approx 1/2 cm. I experienced itching and that night I had projectile vomiting. The vomiting stopped after about 3 1/2 hours, but the swelling lasted 4 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
-
2021-02-05
Dose 2 — Moderna
-
2021-02-23
Survey response — day 14, dose 2MedDRA: Headache, Rash, Rash papular, Rash pruritic — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Itchy raised rash on arms, legs, and shoulders, headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — day 21, dose 2MedDRA: Rash, Urticaria — Feeling: Fair · Be unable to workFree text: Rash-hivesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — day 28, dose 2MedDRA: Pruritus, Rash, Sleep disorder — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash is steadily getting worse. Losing sleep due to constant itchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-12
Survey response — day 35, dose 2MedDRA: Urticaria — Feeling: Poor · Be unable to workFree text: Hives all over body, arms, legs, face. Progressively for worseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-10-22
-
2021-10-25
Callback requested for05:15PM CT
-
2021-10-25
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 3 — day 14, dose 1
Symptoms: On day 8, the injection site started swelling and was about 7 cm in diameter and was raised approx 1/2 cm. I experienced itching and that night I had projectile vomiting. The vomiting stopped after about 3 1/2 hours, but the swelling lasted 4 days. cut off by CDC
Release 4 — day 14, dose 2
Symptoms: Itchy raised rash on arms, legs, and shoulders, headache.
Release 4 — day 21, dose 2
Symptoms: Rash-hives
Release 5 — day 28, dose 2
Symptoms: Rash is steadily getting worse. Losing sleep due to constant itching
Release 5 — day 35, dose 2
Symptoms: Hives all over body, arms, legs, face. Progressively for worse
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 | Headache | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SD | Vomiting projectile | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release