26W-24903-57860
2 vaccinations
2 coded responses
24 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-24
Dose 1 — Moderna
-
2021-01-25
Registered in v-safe
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-30
- 2021-01-31
- 2021-02-07
- 2021-02-14
- 2021-02-23
-
2021-02-27
Dose 2 — Moderna
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Office visit, Rash, Specialist consultation, Steroid therapy — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Rash has been coming on for 3 weeks so I hardly noticed it until itching started. Say my primary doctor and my dermatologist. Received itch reduction pills and steroid that I added to a cream recommended by dermatologist. Itchy has subsided but rash still there. All over my body!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-06
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-13
- 2021-03-20
-
2021-03-27
Survey response — day 28, dose 2MedDRA: Medical counselling, Office visit, Rash, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My rash has covered my body and itches. It started after the first shot and grew to cover my back and front. It has been 2 months. · Healthcare visit (other): In office and telephoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-03
- 2021-04-10
- 2021-05-29
- 2021-08-28
-
2022-01-20
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-02-27 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Rash has been coming on for 3 weeks so I hardly noticed it until itching started. Say my primary doctor and my dermatologist. Received itch reduction pills and steroid that I added to a cream recommended by dermatologist. Itchy has subsided but rash still there. All over my body!
Release 6 — day 28, dose 2
Symptoms: My rash has covered my body and itches. It started after the first shot and grew to cover my back and front. It has been 2 months.
Healthcare visit (other): In office and telephone
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Specialist consultation | ✓ | ✓ | ✓ |
| SRO | Steroid therapy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release