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ZYS-10112-91460

2 vaccinations 5 coded responses 19 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
462 / IN
Registered
2021-01-05
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-01-05
    Registered in v-safe
  2. 2021-01-05
    Dose 1 — Moderna
  3. 2021-01-05
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  5. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  6. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  7. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-21
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site swelling — Feeling: Good
    Free text: The injection site became swollen and red again.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-26
    Survey response — day 21, dose 1
    MedDRA: Petechiae — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: The petechiae rash that appeared approximately 2 days after the 1st dose continues to spread but isnt causing any discomfort.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-26
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-01-30
    Dose 2 — Moderna
  14. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · 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 visit
    Adult check-in
  15. 2021-02-02
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Adult check-in
  17. 2021-02-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Rash continues to spread slowly. It covers about 50% of my body.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Adult check-in
  19. 2021-02-06
    Health check-in — day 7, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  20. 2021-02-13
    Survey response — day 14, dose 2
    MedDRA: Exfoliative rash, Medical counselling, Rash — Feeling: Good
    Free text: Rash (that is separate from the injection site) continues to spread and change of skin texture (small bumps and scaly) noted. I sought medical advice for this and have seen 2 physicians who were unable to diagnose this condition.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-22
    Survey response — day 21, dose 2
    MedDRA: Rash — Feeling: Good
    Free text: Full body rash continues to spread
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-12
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna
22021-01-30Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-21

Symptoms: The injection site became swollen and red again.

Release 2 — day 21, dose 1

2021-01-26

Symptoms: The petechiae rash that appeared approximately 2 days after the 1st dose continues to spread but isnt causing any discomfort.

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Rash continues to spread slowly. It covers about 50% of my body.

Release 4 — day 14, dose 2

2021-02-13

Symptoms: Rash (that is separate from the injection site) continues to spread and change of skin texture (small bumps and scaly) noted. I sought medical advice for this and have seen 2 physicians who were unable to diagnose this condition.

Release 4 — day 21, dose 2

2021-02-22

Symptoms: Full body rash continues to spread

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

FieldPreferred term2021-092023-042024-11
SDExfoliative rash ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDPetechiae ✓ ✓ ✓
SDRash ✓ ✓ ✓
SRORash ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release