2LJ-32823-11646
6 vaccinations
8 coded responses
79 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 210 / MD
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-28
Registered in v-safe
-
2021-02-28
Dose 1 — Moderna
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash pruritic — Feeling: GoodFree text: One itchy bump in armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Gingival disorder, Pruritus, Swelling — Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection siteFree text: Itchy bump resolvingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — day 7, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Widely dispersed bumps on opposite legMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — day 14, dose 1MedDRA: Granuloma annulare, Pre-existing disease, Rash, Rash pruritic — Feeling: GoodFree text: I have itchy bumps on the opposite arm and at various locations on my legs. Maybe its my granuloma annulare. I am not sure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Survey response — day 21, dose 1MedDRA: Petechiae, Specialist consultation, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: During my checkup, my PCP said what I thought was a rash was petechiae. I see dermatologist this week if it isnt all gone by the day of the appointment. · Healthcare visit (other): I havent seen dermatologist yetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-28
Dose 2 — Moderna
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: GoodFree text: Waking up perspiring (but temperatures is normal)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-11
- 2021-04-18
- 2021-04-25
- 2021-05-02
- 2021-05-09
- 2021-06-27
- 2021-09-26
-
2021-10-28
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Nausea, VomitingAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-30
- 2022-01-27
-
2022-04-28
Survey response — 6 months, dose 3MedDRA: Abdominal discomfort, Diarrhoea, Gastroenteritis, Medical counselling — Feeling: GoodFree text: Diarrhea and abdominal area discomfort most likely caused by a restaurant -prepared meal. I discussed with PCP after the fact. She put gastroenteritis in her recordsMedDRA releases: 2024-11 · check-in free text available
-
2022-05-23
Dose 4 — Moderna
-
2022-05-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Fever · NoneAdult check-in
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-06-20
- 2022-06-27
- 2022-07-04
- 2022-08-22
-
2022-09-16
Dose 5 — ModernaCo-administered: Flu
- 2022-09-16
- 2022-09-17
-
2022-09-18
Survey response — days 1–6 daily, dose 5MedDRA: Body temperature increased — Feeling: Good · Site: Pain, SwellingFree text: My temperature rose to 99.5 yesterday afternoonMedDRA releases: 2024-11 · check-in free text available
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-17
-
2023-05-17
Dose 6 — Moderna
- 2023-05-17
- 2023-05-18
- 2023-05-19
- 2023-05-20
- 2023-05-21
- 2023-05-22
- 2023-05-23
- 2023-05-24
- 2023-05-31
- 2023-06-07
- 2023-06-14
- 2023-06-21
- 2023-06-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Moderna | |
| 2 | 2021-03-28 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-05-23 | Moderna | No |
| 5 | 2022-09-16 | Moderna | Flu |
| 6 | 2023-05-17 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): One itchy bump in armpit
Systemic reaction (other): Itchy bump resolving
Release 5 — day 7, dose 1
Systemic reaction (other): Widely dispersed bumps on opposite leg
Release 5 — day 14, dose 1
Symptoms: I have itchy bumps on the opposite arm and at various locations on my legs. Maybe its my granuloma annulare. I am not sure.
Release 6 — day 21, dose 1
Symptoms: During my checkup, my PCP said what I thought was a rash was petechiae. I see dermatologist this week if it isnt all gone by the day of the appointment.
Healthcare visit (other): I havent seen dermatologist yet
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Waking up perspiring (but temperatures is normal)
Release 11 — 6 months, dose 3
Symptoms: Diarrhea and abdominal area discomfort most likely caused by a restaurant -prepared meal. I discussed with PCP after the fact. She put gastroenteritis in her records
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): My temperature rose to 99.5 yesterday afternoon
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Gastroenteritis | · | · | ✓ |
| SD | Granuloma annulare | ○ | ✓ | ○ |
| SD | Medical counselling | · | · | ✓ |
| SD | Petechiae | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ○ | ✓ | ○ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Specialist consultation | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Gingival disorder | ○ | ✓ | ○ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release