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
-
2021-01-05
Registered in v-safe
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2021-01-05
Dose 1 — Moderna
- 2021-01-05
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2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-01-09
- 2021-01-11
- 2021-01-12
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2021-01-21
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling — Feeling: GoodFree text: The injection site became swollen and red again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — day 21, dose 1MedDRA: 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 visitFree 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
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2021-01-26
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-30
Dose 2 — Moderna
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2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: 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 visitAdult check-in
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2021-02-02
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree 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
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-06
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-13
Survey response — day 14, dose 2MedDRA: Exfoliative rash, Medical counselling, Rash — Feeling: GoodFree 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
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2021-02-22
Survey response — day 21, dose 2MedDRA: Rash — Feeling: GoodFree text: Full body rash continues to spreadMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-06
- 2021-03-13
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2021-04-12
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-01-30 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 2 — day 14, dose 1
Symptoms: The injection site became swollen and red again.
Release 2 — day 21, dose 1
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
Systemic reaction (other): Rash continues to spread slowly. It covers about 50% of my body.
Release 4 — day 14, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Exfoliative rash | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Petechiae | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release