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2J6-16063-76348

2 vaccinations 4 coded responses 26 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
183 / PA
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-12
    Survey response — day 14, dose 1
    MedDRA: Erythema, Feeling hot, Pruritus, Swelling, Tenderness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Had sudden onset of allergic reaction at vaccine site on Day 8 and remaining through Day 11. Extremely itchy, swollen, hot, red in a 4 by 3 inch patch surrounding injection site. Treated with Benedryl and ice packs. More tender after this reaction
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-12
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-01-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-01-26
    Dose 2 — Moderna
  15. 2021-01-26
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Nausea
    Adult check-in
  16. 2021-01-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Heart rate over 100 for several hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains
    Free text: Axillary lymph node pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains
    Adult check-in
  19. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  20. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  21. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  22. 2021-02-02
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  23. 2021-02-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-02-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-02-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-02-25
  27. 2021-03-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-03-02
  29. 2021-03-05
  30. 2021-03-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  31. 2021-04-28
    Survey response — 3 months, dose 2
    MedDRA: Injection site rash, Rash, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Not sure if related or not but have had rashes/itchy bumps pop up on my body. Had very itchy large rash at injection site post vaccination so that is the only reason I am wondering if some connection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  32. 2021-04-28
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  33. 2021-06-17
  34. 2021-07-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  35. 2022-01-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-26Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-12

Symptoms: Had sudden onset of allergic reaction at vaccine site on Day 8 and remaining through Day 11. Extremely itchy, swollen, hot, red in a 4 by 3 inch patch surrounding injection site. Treated with Benedryl and ice packs. More tender after this reaction cut off by CDC

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Heart rate over 100 for several hours

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Axillary lymph node pain

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Not sure if related or not but have had rashes/itchy bumps pop up on my body. Had very itchy large rash at injection site post vaccination so that is the only reason I am wondering if some connection

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
SDErythema ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDSwelling ✓ ✓ ✓
SDTenderness ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓

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