2JH-36386-05560
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 100 / NY
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-15
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Arthropod bite, Erythema, Infected bite, Inflammation — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I have gotten several insect bites recently and I am experiencing more inflammation and redness around those sites than I typically do.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Antibiotic therapy, Erythema, Inflammation — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I am experiencing unusual inflammation and redness around some insect bites. They are itchy and red and it has been like this for several days. I am being treated with antibiotics.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Survey response — day 7, dose 1MedDRA: Pruritus, Rash pruritic, Self-medication, Urticaria — Feeling: Good · 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 visitFree text: Last Sunday, 1/17, I was convinced I had been bitten a number of times by an insect. Given that I have found no insects in my apartment, I do believe what I was experiencing was a side effect of the vaccine. For four days, then, I had a very itchy and inflamed set of hives, which did not respond much to antihistamines. There were about 11 different inflamed hives on my arm (not the arm that was vaccinated.) After those four days (on Thursday, 1/21) the itch had and inflammation had stopped. I am feeling much better now, but it looks like another rash has popped up next to my left ear. It is slightly itchy, but the inflammation has gone down since yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-28
Survey response — day 14, dose 1MedDRA: Inflammation, Pruritus, Urticaria — Feeling: GoodFree text: About three days ago, a few new patches of itchy/inflamed hives showed up on my right arm and torso. Less itchy and inflamed than the ones that appeared over a week ago, though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
-
2021-02-10
Dose 2 — Moderna
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-04-02
- 2021-05-12
- 2021-08-11
- 2022-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I have gotten several insect bites recently and I am experiencing more inflammation and redness around those sites than I typically do.
Systemic reaction (other): I am experiencing unusual inflammation and redness around some insect bites. They are itchy and red and it has been like this for several days. I am being treated with antibiotics.
Release 2 — day 7, dose 1
Systemic reaction (other): Last Sunday, 1/17, I was convinced I had been bitten a number of times by an insect. Given that I have found no insects in my apartment, I do believe what I was experiencing was a side effect of the vaccine. For four days, then, I had a very itchy and inflamed set of hives, which did not respond much to antihistamines. There were about 11 different inflamed hives on my arm (not the arm that was vaccinated.) After those four days (on Thursday, 1/21) the itch had and inflammation had stopped. I am feeling much better now, but it looks like another rash has popped up next to my left ear. It is slightly itchy, but the inflammation has gone down since yesterday.
Release 2 — day 14, dose 1
Symptoms: About three days ago, a few new patches of itchy/inflamed hives showed up on my right arm and torso. Less itchy and inflamed than the ones that appeared over a week ago, though.
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 | Inflammation | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Antibiotic therapy | ✓ | ✓ | ✓ |
| SRO | Arthropod bite | ✓ | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Infected bite | ○ | ✓ | ○ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release